Umlor, Jessica L

Umlor, Jessica L is an individual health care provider with primary practice located at 6100 Newport Rd Suite 100, Portage MI 49002-9235. 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. Umlor, Jessica L can be contacted via phone (269) 343-4679.

Contact Information

Primary practice address
6100 Newport Rd Suite 100 Portage MI 49002-9235
Phone: (269) 343-4679
Fax: (269) 343-5929
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 56010-04622 Michigan

Profile Details

NPI number 1265593685
LBN Legal business name Umlor, Jessica L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
Last updated Dec 12th, 2012 - about 12 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 1265593685 NPPES
Other 0C96019007 MEDICARE / PTAN

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