Mielke, Jackie Marie
Mielke, Jackie Marie is an sole proprietor health care provider with primary practice located at 4166 17 Mile Rd Ne , Cedar Springs MI 49319-9451. She recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as her primary health care specialty. Mielke, Jackie Marie can be contacted via phone (616) 696-9040.Contact Information
Primary practice address
4166 17 Mile Rd Ne
Cedar Springs MI 49319-9451
Phone: (616) 696-9040
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacy Technician | 183700000X | 5303042993 | Michigan |
Profile Details
| NPI number | 1770273567 |
|---|---|
| LBN Legal business name | Mielke, Jackie Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 15th, 2023 |
| Last updated | May 15th, 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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