Michael, Jill E

Michael, Jill E is an individual health care provider with primary practice located at 1931 Industrial Park Rd , Conway SC 29526-5645. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Michael, Jill E can be contacted via phone (843) 915-8768.

Contact Information

Primary practice address
1931 Industrial Park Rd Conway SC 29526-5645
Phone: (843) 915-8768
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 3684 South Carolina

Profile Details

NPI number 1629049382
LBN Legal business name Michael, Jill E
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2006
Last updated Oct 11th, 2010 - about 14 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 1629049382 NPPES
Nevada Other VWCHKL MEDICARE GROUP
Nevada MEDICAID 2402636 MEDICARE GROUP
Nevada Other 100500023 MEDICARE GROUP
Nevada MEDICAID 3102636 MEDICARE GROUP

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