Serino, James Philip

Serino, James Philip is an individual health care provider with primary practice located at 350 N Wisner St , Jackson MI 49202-4225. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Serino, James Philip can be contacted via phone (517) 783-6928.

Contact Information

Primary practice address
350 N Wisner St Jackson MI 49202-4225
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4901003057 Michigan

Profile Details

NPI number 1205827771
LBN Legal business name Serino, James Philip
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Feb 17th, 2017 - about 7 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 1205827771 NPPES
Michigan Other 200000004902 PHP OF SOUTH MICHIGAN
Michigan Other 5892950001 PHP OF SOUTH MICHIGAN
Michigan Other 410020815 PHP OF SOUTH MICHIGAN
Michigan Other VCM-0142 PHP OF SOUTH MICHIGAN
Michigan Other 900C811800 PHP OF SOUTH MICHIGAN
Michigan Other 5448465 PHP OF SOUTH MICHIGAN

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