Bishop, Jacalyn Meredith

Bishop, Jacalyn Meredith is an sole proprietor health care provider with primary practice located at 25500 Meadowbrook Rd Suite 130, Novi MI 48375-1878. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Endocrinology, which is considered as her primary health care specialty. Bishop, Jacalyn Meredith can be contacted via phone (248) 347-3344.

Contact Information

Primary practice address
25500 Meadowbrook Rd Suite 130 Novi MI 48375-1878
Phone: (248) 347-3344
Fax: (248) 305-6845
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X 4301077893 Michigan

Profile Details

NPI number 1063579415
LBN Legal business name Bishop, Jacalyn Meredith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 3rd, 2007
Last updated Jan 17th, 2017 - about 9 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 1063579415 NPPES
Michigan MEDICAID 519615310

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