Mcadoo, Jernice

Mcadoo, Jernice is an individual health care provider with primary practice located at 18424 W Mcnichols Rd , Detroit MI 48219-4161. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Mcadoo, Jernice can be contacted via phone (313) 537-3800.

Contact Information

Primary practice address
18424 W Mcnichols Rd Detroit MI 48219-4161
Phone: (313) 537-3800
Fax: (313) 537-2080
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 15183 Michigan

Profile Details

NPI number 1366509713
LBN Legal business name Mcadoo, Jernice
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2007
Last updated Jul 8th, 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 1366509713 NPPES
Michigan MEDICAID 1952323

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