Provider Information for 1598991986
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
JENNIFER ROSE MAISE-CORMIER L.P.C.
Sex: Female
NPI: 1598991986
Last Updated: 2009-05-31
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1598991986 | ||||||||||||
| Enumeration Date | 2009-05-31 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 16532 COUNTRY CLUB DR LIVONIA, MI 48154-2174 United States Phone: 248-672-1712 | Fax: | ||||||||||||
| Primary Practice Address | 16532 COUNTRY CLUB DR LIVONIA, MI 48154-2174 United States Phone: 248-672-1712 | Fax: | ||||||||||||
| Secondary Practice Address(es) | |||||||||||||
| Health Information Exchange |
| ||||||||||||
| Other Identifiers |
| ||||||||||||
| Taxonomy |
|