Dudovitz, Jennifer Cooper

Dudovitz, Jennifer Cooper is an individual health care provider with primary practice located at 28655 Hoover Rd , Warren MI 48093-4105. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Dudovitz, Jennifer Cooper can be contacted via phone (586) 751-0400.

Contact Information

Primary practice address
28655 Hoover Rd Warren MI 48093-4105
Phone: (586) 751-0400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4901003920 Michigan

Profile Details

NPI number 1790720225
LBN Legal business name Dudovitz, Jennifer Cooper
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2006
Last updated Jul 8th, 2007 - about 19 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 1790720225 NPPES
Michigan Other 0E06683 BCBS

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