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
Fax: (973) 972-7440
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629176631 NPPES
New Jersey MEDICAID 0115304

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