Wegner, Jill

Wegner, Jill is an individual health care provider with primary practice located at 6777 W Maple Rd , West Bloomfield MI 48322-3013. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Wegner, Jill can be contacted via phone (248) 325-1000.

Contact Information

Primary practice address
6777 W Maple Rd West Bloomfield MI 48322-3013
Phone: (248) 325-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 4704195321 Michigan

Profile Details

NPI number 1881765071
LBN Legal business name Wegner, Jill
Credentials ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2006
Last updated Apr 9th, 2024 - about 5 months 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 1881765071 NPPES
Michigan MEDICAID 10-4680917
Michigan MEDICAID 10-4689035
Michigan MEDICAID 10-4689044
Michigan MEDICAID 10-4689008
Michigan MEDICAID 11-4940999
Michigan MEDICAID 11-4941010
Michigan MEDICAID 11-4941029
Michigan MEDICAID 10-4689026
Michigan MEDICAID 11-4941000

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