Thomas, Jill M

Thomas, Jill M is an individual health care provider with primary practice located at 580 W College Ave Hospitalist Office, Marquette MI 49855-2705. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Thomas, Jill M can be contacted via phone (906) 225-7433.

Contact Information

Primary practice address
580 W College Ave Hospitalist Office Marquette MI 49855-2705
Phone: (906) 225-7433
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704222283 Michigan

Profile Details

NPI number 1124079710
LBN Legal business name Thomas, Jill M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Jun 15th, 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 1124079710 NPPES
Michigan Other 5008706020 BLUE CROSS BLUE SHIELD MI
Michigan MEDICAID 104854881 BLUE CROSS BLUE SHIELD MI

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