Jagielo, Kathy

Jagielo, Kathy is an individual health care provider with primary practice located at 1096 S Belsay Rd Suite A, Burton MI 48509-1948. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Jagielo, Kathy can be contacted via phone (810) 742-6100.

Contact Information

Primary practice address
1096 S Belsay Rd Suite A Burton MI 48509-1948
Phone: (810) 742-6100
Fax: (810) 742-1742
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704146308 Michigan

Profile Details

NPI number 1487700951
LBN Legal business name Jagielo, Kathy
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2007
Last updated Sep 20th, 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 1487700951 NPPES
Michigan MEDICAID 4077828

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