Michalak, Jill

Michalak, Jill is an sole proprietor health care provider with primary practice located at 5871 Monclova Rd , Maumee OH 43537-1839. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Wound Care, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Michalak, Jill can be contacted via phone (419) 897-8376.

Contact Information

Primary practice address
5871 Monclova Rd Maumee OH 43537-1839
Phone: (419) 897-8376
Fax: (419) 887-8789
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Wound Care 163WW0000X RN249642 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X COA.15618-NP Ohio
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN.CNP.15618 Ohio

Profile Details

NPI number 1316349665
LBN Legal business name Michalak, Jill
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 18th, 2014
Last updated Nov 3rd, 2023 - about last year

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 1316349665 NPPES
Ohio MEDICAID 0118302

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