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Contact Information

JODI L MCCOLLUM, PA
420 W MAGNETIC ST
SUITE ER
MARQUETTE, MI49855-2711
 Phone: 906-225-4854
 Fax: 906-225-3370
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JODI L MCCOLLUM · (Female)

NPI # 1013067602
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 01/12/2007
Last updated 07/09/2007 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 5601003915
  • MI Other 5601003915 MICHIGAN LICENSE
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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