Redner, Alexandria Jaclyn

Redner, Alexandria Jaclyn is an individual health care provider with primary practice located at 2615 Union Lake Rd , Commerce Township MI 48382-3557. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Redner, Alexandria Jaclyn can be contacted via phone (248) 560-7555.

Contact Information

Primary practice address
2615 Union Lake Rd Commerce Township MI 48382-3557
Phone: (248) 560-7555
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 5601010071 Michigan

Profile Details

NPI number 1023616687
LBN Legal business name Redner, Alexandria Jaclyn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2020
Last updated Oct 3rd, 2022 - about 3 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 1023616687 NPPES
Michigan Other 5601010071 LARA

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