Audry, Jedd Jack
Audry, Jedd Jack is an individual health care provider with primary practice located at 2333 Biddle Ave , Wyandotte MI 48192-4668. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Audry, Jedd Jack can be contacted via phone (734) 246-7901.Contact Information
Primary practice address
2333 Biddle Ave
Wyandotte MI 48192-4668
Phone: (734) 246-7901
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 4301507428 | Michigan |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 4301116237 | Michigan |
Profile Details
| NPI number | 1427535202 |
|---|---|
| LBN Legal business name | Audry, Jedd Jack |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2018 |
| Last updated | Oct 10th, 2022 - about 4 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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