Phillips, Jennifer Elizabeth

Phillips, Jennifer Elizabeth is an individual health care provider with primary practice located at 560 W Mitchell St Ste 400 , Petoskey MI 49770-2274. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Phillips, Jennifer Elizabeth can be contacted via phone (231) 330-3246.

Contact Information

Primary practice address
560 W Mitchell St Ste 400 Petoskey MI 49770-2274
Phone: (231) 330-3246
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601003293 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA10004815 Washington

Profile Details

NPI number 1366580227
LBN Legal business name Phillips, Jennifer Elizabeth
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2007
Last updated Feb 7th, 2019 - about 5 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 1366580227 NPPES
Washington MEDICAID 8436487
Washington Other 4571LE
Washington MEDICAID 1366580227
Washington Other US7122654
Washington Other 0039572

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