Michael, Jesse

Michael, Jesse is an individual health care provider with primary practice located at 380 Hospital Dr Ste 410 , Macon GA 31217-8014. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as his primary health care specialty. Michael, Jesse can be contacted via phone (478) 746-5644.

Contact Information

Primary practice address
380 Hospital Dr Ste 410 Macon GA 31217-8014
Phone: (478) 746-5644
Fax: (478) 745-4849
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 008537 Georgia

Profile Details

NPI number 1306356860
LBN Legal business name Michael, Jesse
Credentials AA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2017
Last updated Jun 16th, 2018 - about 8 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 1306356860 NPPES
Georgia MEDICAID PENDING

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