Losty, Jaclyn

Losty, Jaclyn is an individual health care provider with primary practice located at 15125 22 Mile Rd , Shelby Twp MI 48315-4406. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Losty, Jaclyn can be contacted via phone (586) 532-0599.

Contact Information

Primary practice address
15125 22 Mile Rd Shelby Twp MI 48315-4406
Phone: (586) 532-0599
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 4704285720 Michigan

Profile Details

NPI number 1669993168
LBN Legal business name Losty, Jaclyn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2017
Last updated Jan 26th, 2022 - about 4 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 1669993168 NPPES
Michigan Other 1669993168 PRESCRIBER

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