Lebourdais, Jill Anne
Lebourdais, Jill Anne is an individual health care provider with primary practice located at 4905 Berl Dr , Saginaw MI 48604-2801. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Lebourdais, Jill Anne can be contacted via phone (989) 996-0566.Contact Information
Primary practice address
4905 Berl Dr
Saginaw MI 48604-2801
Phone: (989) 996-0566
Fax: (989) 583-6915
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 5601003221 | Michigan |
Profile Details
| NPI number | 1447216999 |
|---|---|
| LBN Legal business name | Lebourdais, Jill Anne |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2006 |
| Last updated | May 11th, 2017 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447216999 | NPPES |
| Michigan | Other | 5731192 | BCBSM |
| Michigan | Other | 0992118 | BCBSM |
| Michigan | MEDICAID | 4472609 | BCBSM |
| Michigan | Other | 26401 | BCBSM |
| Michigan | Other | P00088330 | BCBSM |
Popular Providers
-
Maxa, Jason
900 Cooper Ave Suite 3100, Saginaw MI 48602-5182 -
Pfeiffer, Christopher James
1447 N Harrison St Cooper Basement, Saginaw MI 48602-4727 -
Goodwin, Amanda M
5483 Gratiot Road , Saginaw MI 48638-6037 -
Reif-Busman, Carrie E
1015 S Washington Ave , Saginaw MI 48601-2556 -
Kennedy, Brian Lee
4848 Mcleod Dr E , Saginaw MI 48604-2839 -
Sweany, Judith L
3400 N Center Rd Ste 500 , Saginaw MI 48603-7922 -
Doornbos, Amy
5400 Mackinaw Rd Suite 4200, Saginaw MI 48604-9515 -
Watson, Brian J
100 S Jefferson Ave Suite 202, Saginaw MI 48607-1267