Michaels, Jennifer
Michaels, Jennifer is an individual health care provider with primary practice located at 90 Bergen St Doc 8100, Newark NJ 07103-2425. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is her primary health care specialty. Michaels, Jennifer can be contacted via phone (973) 972-7151.Contact Information
Primary practice address
90 Bergen St Doc 8100
Newark NJ 07103-2425
Phone: (973) 972-7151
Fax: (973) 972-7440
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MA04662800 | New Jersey |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 25MA04662800 | New Jersey |
Profile Details
| NPI number | 1629176631 |
|---|---|
| LBN Legal business name | Michaels, Jennifer |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2006 |
| Last updated | Jul 22nd, 2009 - about 17 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 | 1629176631 | NPPES |
| New Jersey | MEDICAID | 0115304 |
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