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Contact Information

JENNIFER L TATE, PA
611 E MAIN ST
HART, MI49420
 Phone: 231-873-5675
 Fax: 231-873-1825
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JENNIFER L TATE · (Female)

NPI # 1881646610
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 05/17/2006
Last updated 06/06/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 5601003148
Hospital affiliation(s)
  • MEMORIAL MEDICAL CENTER OF WEST MICHIGAN - (Acute Care)
    1 N ATKINSON DRIVE
    LUDINGTON, MI 49431
  • MERCY HEALTH PARTNERS HACKLEY CAMPUS - (Acute Care)
    1700 CLINTON STREET
    MUSKEGON, MI 49442
  • MERCY HEALTH PARTNERS LAKESHORE CAMPUS - (Critical Access)
    72 SOUTH STATE STREET
    SHELBY, MI 49455
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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