Thomas, Jill M
Thomas, Jill M is an individual health care provider with primary practice located at 580 W College Ave Hospitalist Office, Marquette MI 49855-2705. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Thomas, Jill M can be contacted via phone (906) 225-7433.Contact Information
Primary practice address
580 W College Ave Hospitalist Office
Marquette MI 49855-2705
Phone: (906) 225-7433
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 4704222283 | Michigan |
Profile Details
NPI number | 1124079710 |
---|---|
LBN Legal business name | Thomas, Jill M |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 16th, 2006 |
Last updated | Jun 15th, 2009 - about 15 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 | 1124079710 | NPPES |
Michigan | Other | 5008706020 | BLUE CROSS BLUE SHIELD MI |
Michigan | MEDICAID | 104854881 | BLUE CROSS BLUE SHIELD MI |
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