Randel, Jaclyn

Randel, Jaclyn is an individual health care provider with primary practice located at 5333 Mcauley Dr Rm 5011 , Ypsilanti MI 48197-1003. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is her primary health care specialty. Randel, Jaclyn can be contacted via phone (734) 622-5016.

Contact Information

Primary practice address
5333 Mcauley Dr Rm 5011 Ypsilanti MI 48197-1003
Phone: (734) 622-5016
Fax: (734) 622-5017
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301054205 Michigan
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 4301054205 Michigan

Profile Details

NPI number 1386624591
LBN Legal business name Randel, Jaclyn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Jun 13th, 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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