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Contact Information

JAY GILLESPIE
6227 FRANKFORT HWY
BENZONIA, MI49616-8632
 Phone: 231-882-9661
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Adult Medicine

207QA0505X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JAY GILLESPIE · (Male)

NPI Number 1669064846
Status Active
Credentials
Entity Individual
Enumeration date 02/09/2021
Last updated 02/09/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 5601010387
Hospital affiliation(s)
  • MUNSON MEDICAL CENTER - (Acute Care)
    1105 SIXTH STREET
    TRAVERSE CITY, MI 49684
  • PAUL OLIVER MEMORIAL HOSPITAL - (Critical Access)
    224 PARK AVENUE
    FRANKFORT, MI 49635
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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