Granquist, Jacquelyn Alberta

Granquist, Jacquelyn Alberta is an individual health care provider with primary practice located at 325 E H St , Iron Mountain MI 49801-4760. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Granquist, Jacquelyn Alberta can be contacted via phone (906) 774-3300.

Contact Information

Primary practice address
325 E H St Iron Mountain MI 49801-4760
Phone: (906) 774-3300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 5601004834 Michigan

Profile Details

NPI number 1780760744
LBN Legal business name Granquist, Jacquelyn Alberta
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2006
Last updated Apr 18th, 2019 - about 7 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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