Redner, Alexandria Jaclyn
Redner, Alexandria Jaclyn is an individual health care provider with primary practice located at 2615 Union Lake Rd , Commerce Township MI 48382-3557. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Redner, Alexandria Jaclyn can be contacted via phone (248) 560-7555.Contact Information
Primary practice address
2615 Union Lake Rd
Commerce Township MI 48382-3557
Phone: (248) 560-7555
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 5601010071 | Michigan |
Profile Details
| NPI number | 1023616687 |
|---|---|
| LBN Legal business name | Redner, Alexandria Jaclyn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 15th, 2020 |
| Last updated | Oct 3rd, 2022 - about 4 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 | 1023616687 | NPPES |
| Michigan | Other | 5601010071 | LARA |
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