Mccollum, Jodi L

Mccollum, Jodi L is an individual health care provider with primary practice located at 420 W Magnetic St Suite Er, Marquette MI 49855-2711. 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. Mccollum, Jodi L can be contacted via phone (906) 225-4854.

Contact Information

Primary practice address
420 W Magnetic St Suite Er Marquette MI 49855-2711
Phone: (906) 225-4854
Fax: (906) 225-3370
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601003915 Michigan

Profile Details

NPI number 1013067602
LBN Legal business name Mccollum, Jodi L
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2007
Last updated Jul 9th, 2007 - about 18 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 1013067602 NPPES
Michigan Other 5601003915 MICHIGAN LICENSE

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