Iacco, Jodi

Iacco, Jodi is an individual health care provider with primary practice located at 22201 Moross Rd Professional Building 1 Suite 132, Detroit MI 48236-2169. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Iacco, Jodi can be contacted via phone (313) 343-3360.

Contact Information

Primary practice address
22201 Moross Rd Professional Building 1 Suite 132 Detroit MI 48236-2169
Phone: (313) 343-3360
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 5601006048 Michigan

Profile Details

NPI number 1801162532
LBN Legal business name Iacco, Jodi
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2012
Last updated Mar 27th, 2012 - about 14 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.

Request for update

Popular Providers