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Contact Information

JEAN GASH, NURSE PRACTITIONER
4669 RAVINE DR
BLOOMFIELD TOWNSHIP, MI48301
 Phone: 248-594-7442
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for JEAN GASH · (Female)

NPI Number 1205976537
Status Active
Credentials NURSE PRACTITIONER
Entity Individual
Enumeration date 02/07/2007
Last updated 05/24/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4704099640
  • MI Other JG099640 BCBSM
Hospital affiliation(s) Not Available
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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