Whitacre, Liza Jennifer

Whitacre, Liza Jennifer is an individual health care provider with primary practice located at 7443 Jackman Rd , Temperance MI 48182. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Whitacre, Liza Jennifer can be contacted via phone (734) 850-0112.

Contact Information

Primary practice address
7443 Jackman Rd Temperance MI 48182
Phone: (734) 850-0112
Fax: (734) 850-0100
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704345718 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN.CNP.02265 Ohio

Profile Details

NPI number 1922592369
LBN Legal business name Whitacre, Liza Jennifer
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2018
Last updated Aug 8th, 2018 - about 8 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 1922592369 NPPES
Ohio MEDICAID PENDING
Ohio MEDICAID PENDING

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