Platkus, Jennifer

Platkus, Jennifer is an individual health care provider with primary practice located at 22250 Providence Dr Ste 406, Southfield MI 48075-4825. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Platkus, Jennifer can be contacted via phone (248) 557-9010.

Contact Information

Primary practice address
22250 Providence Dr Ste 406 Southfield MI 48075-4825
Phone: (248) 557-9010
Fax: (248) 557-3655
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704195094 Michigan

Profile Details

NPI number 1124013859
LBN Legal business name Platkus, Jennifer
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
Last updated Mar 7th, 2023 - about last year

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 1124013859 NPPES
Michigan MEDICAID 4579525
Michigan Other 5008602800

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