Organization
JONESVILLE HEALTH CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHEILA K MCMULLEN (MANAGER)
(517) 849-7100
Entity
Organization
Contact information
Practice address
216 OLDS ST, JONESVILLE, MI 49250-1128
(517) 849-7100
(517) 849-2453
Mailing address
216 OLDS ST, JONESVILLE, MI 49250-1128
(517) 849-7100
(517) 849-2453
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
302R00000X
Health Maintenance Organization
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0120255
PHP
MI
01
—
0120256
PHP
MI
01
—
0153000155
BLUE CROSS
MI
01
—
0153000175
BLUE CROSS
MI
05
—
114511135
—
MI
05
—
114516211
—
MI
01
—
143115
GREAT LAKES
MI
01
—
143119
GREAT LAKES
MI
01
—
7537437
AETNA
MI
01
—
7559446
AETNA
MI
01
—
P117885
BCN
MI
01
—
P30270F
BCN
MI
Enumeration date
12/13/2006
Last updated
09/09/2014
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