Jeffers-Wcisel, Carianne

Jeffers-Wcisel, Carianne is an individual health care provider with primary practice located at 1250 Lears Rd , Petoskey MI 49770-9252. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Jeffers-Wcisel, Carianne can be contacted via phone (231) 242-1700.

Contact Information

Primary practice address
1250 Lears Rd Petoskey MI 49770-9252
Phone: (231) 242-1700
Fax: (231) 242-1717
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601003913 Michigan

Profile Details

NPI number 1174544696
LBN Legal business name Jeffers-Wcisel, Carianne
Credentials P.A.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Dec 13th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1174544696 NPPES
Michigan Other 080B410280 BCBSM
Michigan MEDICAID 104385906 BCBSM

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