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JAN MEDICAL INC NPI 1992285118


NPI Information

NPI: 1992285118
Provider Name: JAN MEDICAL INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
45686 S LAKE DR
NOVI, MI
ZIP 48377
Phone: (248) 921-5593
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JAN MEDICAL INC is a family medicine in Novi, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. JAN MEDICAL INC NPI is 1992285118. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

45686 S LAKE DR
NOVI, MI
ZIP 48377-919
Phone: (248) 921-5593

The provider's authorized official is Loren Chudler .
The authorized official title is Ceo and has the following contact phone number (248) 921-5593.

The enumeration date for this NPI number is 8/16/2018 and was last updated on 6/27/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine5101012791MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11164477816MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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