Podgorny, Jennifer Castillo

Podgorny, Jennifer Castillo is an individual health care provider with primary practice located at 18181 Oakwood Blvd Ste 403 , Dearborn MI 48124-3960. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Podgorny, Jennifer Castillo can be contacted via phone (313) 438-5560.

Contact Information

Primary practice address
18181 Oakwood Blvd Ste 403 Dearborn MI 48124-3960
Phone: (313) 438-5560
Fax: (313) 438-5575
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1710181813
LBN Legal business name Podgorny, Jennifer Castillo
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2007
Last updated Apr 28th, 2024 - about 2 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 1710181813 NPPES
Michigan Other 5601005056 STATE LICENSE

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