Wisniewski, Jill

Wisniewski, Jill is an individual health care provider with primary practice located at 1101 Health Professions Bldg , Mt Pleasant MI 48859-0001. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Wisniewski, Jill can be contacted via phone (989) 774-3904.

Contact Information

Primary practice address
1101 Health Professions Bldg Mt Pleasant MI 48859-0001
Phone: (989) 774-3904
Fax: (989) 774-1891
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 5501013944 Michigan

Profile Details

NPI number 1619352564
LBN Legal business name Wisniewski, Jill
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2015
Last updated Jul 21st, 2015 - about 11 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 1619352564 NPPES
Michigan Other 5501013944 MICHIGAN LICENSE

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