Jean M Lodes, CHW
Individual provider Active NPI Community Health Worker · Hesperia, MI
NPI 1043076599 · NPPES record last updated Feb 22, 2024
Key facts
- NPI
- 1043076599
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 9431 Sunset Blvd
Hesperia, MI 49421-9581 - Phone
- (231) 450-3897
- NPI assigned
- Feb 22, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | MI | Yes |
Addresses
Primary practice location
9431 Sunset Blvd
Hesperia, MI 49421-9581
Mailing address
9431 Sunset Blvd
Hesperia, MI 49421-9581
Phone (231) 450-3897
Other providers in Hesperia, MI
- Hesperia Medical Center
- Mollie T Hudson
- Angela Kay Husband
- J,. Maxwell L.L.C.
- Rory Mathew Lancaster
- Jennifer Mackay
- Medi Moovers LLC
- Memorial Medical Center of West Michigan
- Kathryn Christiana Nelson
- Newaygo County General Hospital Association
All providers in Hesperia, MI · Community Health Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.