Individual
JESSIE ITTIARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
2006 HOGBACK RD, SUITE 5A, ANN ARBOR, MI 48105-9750
(734) 786-2317
Mailing address
2006 HOGBACK RD, SUITE 5A, ANN ARBOR, MI 48105-9750
(734) 786-2317
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601003513
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5601003513
MICHIGAN LICENSE
MI
Enumeration date
10/25/2006
Last updated
03/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us