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Contact Information

JILL MICHALAK
5871 MONCLOVA RD
MAUMEE, OH43537-1839
 Phone: 419-897-8376
 Fax: 419-887-8789
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Family

363LF0000X 50 Nurse Practitioner
 

Wound Care

163WW0000X
Indicates primary specialty

NPI Profile & details for JILL MICHALAK · (Female)

NPI # 1316349665
Status Active
Credentials
Entity Individual
Enumeration date 09/18/2014
Last updated 11/03/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # APRN.CNP.15618
  • OH License # COA.15618-NP
  • OH License # RN249642
  • OH Medicaid 0118302
Hospital affiliation(s)
  • BAY PARK COMMUNITY HOSPITAL - (Acute Care)
    2801 BAY PARK DRIVE
    OREGON, OH 43616
  • TOLEDO HOSPITAL THE - (Acute Care)
    2142 NORTH COVE BOULEVARD
    TOLEDO, OH 43606
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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