Parks, Jennifer J

Parks, Jennifer J is an individual health care provider with primary practice located at 1035 E Wilcox Ave , White Cloud MI 49349. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Parks, Jennifer J can be contacted via phone (231) 689-5943.

Contact Information

Primary practice address
1035 E Wilcox Ave White Cloud MI 49349
Phone: (231) 689-5943
Fax: (231) 689-1590
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X JP080605 Michigan
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01072082A Indiana

Profile Details

NPI number 1700805199
LBN Legal business name Parks, Jennifer J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Sep 4th, 2019 - about 7 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 1700805199 NPPES
Michigan MEDICAID 5217469
Michigan MEDICAID 201135770
Michigan Other 383218134
Michigan Other 08-070-11602

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