Mundt, Jeffrey Charles

Mundt, Jeffrey Charles is an individual health care provider with primary practice located at 43475 Dalcoma Dr Ste 160 , Clinton Township MI 48038-3591. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as his primary health care specialty. Mundt, Jeffrey Charles can be contacted via phone (586) 436-3785.

Contact Information

Primary practice address
43475 Dalcoma Dr Ste 160 Clinton Township MI 48038-3591
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X A1006121 Michigan

Profile Details

NPI number 1174669808
LBN Legal business name Mundt, Jeffrey Charles
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2007
Last updated Sep 1st, 2016 - about 8 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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