Noack, Jill A

Noack, Jill A is an individual health care provider with primary practice located at 145 Michigan St Ne Suite 3100, Grand Rapids MI 49503-2562. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Noack, Jill A can be contacted via phone (616) 954-9800.

Contact Information

Primary practice address
145 Michigan St Ne Suite 3100 Grand Rapids MI 49503-2562
Phone: (616) 954-9800
Fax: (616) 954-2116
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601001749 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 5601001749 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 5601001749 Michigan

Profile Details

NPI number 1891788261
LBN Legal business name Noack, Jill A
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2005
Last updated Jan 12th, 2011 - about 13 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 1891788261 NPPES
Michigan Other 0C91143 BCBSM
Michigan Other CA3050 BCBSM

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