Mayer, Judith Michelle

Mayer, Judith Michelle is an individual health care provider with primary practice located at 5333 Mcauley Drive Suite 4003, Ypsilanti MI 48197-1099. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Mayer, Judith Michelle can be contacted via phone (734) 712-3470.

Contact Information

Primary practice address
5333 Mcauley Drive Suite 4003 Ypsilanti MI 48197-1099
Fax: (734) 712-2935
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 4301079689 Michigan

Profile Details

NPI number 1215997309
LBN Legal business name Mayer, Judith Michelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Jun 21st, 2021 - about 4 years 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 1215997309 NPPES
Michigan MEDICAID 4416225-10

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