Opdycke, Jennifer S

Opdycke, Jennifer S is an individual health care provider with primary practice located at 5708 Venture Ct Ste A , Kalamazoo MI 49009-2858. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Opdycke, Jennifer S can be contacted via phone (269) 220-0648.

Contact Information

Primary practice address
5708 Venture Ct Ste A Kalamazoo MI 49009-2858
Phone: (269) 220-0648
Fax: (269) 220-3535
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 5601004149 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601004149 Michigan

Profile Details

NPI number 1952358160
LBN Legal business name Opdycke, Jennifer S
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Jan 12th, 2024 - about 2 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 1952358160 NPPES
Michigan Other 1104840529 BCBSM - BMG
Michigan MEDICAID 1952358160 BCBSM - BMG

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