Panoff, Jessica

Panoff, Jessica is an individual health care provider with primary practice located at 116 W Mitchell St , Petoskey MI 49770-2357. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Panoff, Jessica can be contacted via phone (231) 348-2828.

Contact Information

Primary practice address
116 W Mitchell St Petoskey MI 49770-2357
Phone: (231) 348-2828
Fax: (231) 348-9609
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 5601007439 Michigan

Profile Details

NPI number 1548639560
LBN Legal business name Panoff, Jessica
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2015
Last updated Dec 18th, 2020 - about 6 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 1548639560 NPPES
Michigan MEDICAID 1548639560

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