Sladick, Jeanette K

Sladick, Jeanette K is an individual health care provider with primary practice located at 18101 Oakwood Blvd Trauma Services, Dearborn MI 48124-4089. 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. Sladick, Jeanette K can be contacted via phone (313) 982-5440.

Contact Information

Primary practice address
18101 Oakwood Blvd Trauma Services Dearborn MI 48124-4089
Phone: (313) 982-5440
Fax: (313) 982-5445
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10112 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601005370 Michigan

Profile Details

NPI number 1588688147
LBN Legal business name Sladick, Jeanette K
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Oct 7th, 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 1588688147 NPPES
Massachusetts MEDICAID 416564100

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