Podgorny, Jennifer Castillo
Podgorny, Jennifer Castillo is an individual health care provider with primary practice located at 18181 Oakwood Blvd Ste 403 , Dearborn MI 48124-3960. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Podgorny, Jennifer Castillo can be contacted via phone (313) 438-5560.Contact Information
Primary practice address
18181 Oakwood Blvd Ste 403
Dearborn MI 48124-3960
Phone: (313) 438-5560
Fax: (313) 438-5575
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
NPI number | 1710181813 |
---|---|
LBN Legal business name | Podgorny, Jennifer Castillo |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 13th, 2007 |
Last updated | Apr 28th, 2024 - about 5 months 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1710181813 | NPPES |
Michigan | Other | 5601005056 | STATE LICENSE |
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