Polmateer, Jill Norene
Polmateer, Jill Norene is an individual health care provider with primary practice located at 1104 Cass St , Traverse City MI 49684-3236. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Polmateer, Jill Norene can be contacted via phone (231) 941-1155.Contact Information
Primary practice address
1104 Cass St
Traverse City MI 49684-3236
Phone: (231) 941-1155
Fax: (231) 941-1347
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 4704155176 | Michigan |
Profile Details
| NPI number | 1730157652 |
|---|---|
| LBN Legal business name | Polmateer, Jill Norene |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2006 |
| Last updated | Sep 30th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730157652 | NPPES |
| Michigan | Other | 5008700740 | BCBS |
| Michigan | MEDICAID | 4163111 | BCBS |
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