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:
Health care specialties
Specialty | Code | License # | 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 2 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 | 1588688147 | NPPES |
Massachusetts | MEDICAID | 416564100 |
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