Martin, Jennifer Lynn

Martin, Jennifer Lynn is an individual health care provider with primary practice located at 34020 7 Mile Rd Ste 101 , Livonia MI 48152-3093. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Martin, Jennifer Lynn can be contacted via phone (248) 900-1555.

Contact Information

Primary practice address
34020 7 Mile Rd Ste 101 Livonia MI 48152-3093
Phone: (248) 900-1555
Fax: (248) 516-5017
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA 9108374 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601004665 Michigan

Profile Details

NPI number 1225256928
LBN Legal business name Martin, Jennifer Lynn
Credentials PHYSICIAN ASSISTANT
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2007
Last updated Feb 27th, 2024 - about 10 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225256928 NPPES
Michigan MEDICAID 1225256928

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