Active NPI
Jacqueline Marie Brancheau
- Other Technician
- Wyandotte, MI
National Provider Identifier
1285024976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- Practice address
- 99 Poplar St
Wyandotte, MI 48192-4663 - Phone
- (734) 282-6198
- NPI assigned
- Feb 2, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | MI | Primary |
Addresses
Primary practice location
99 Poplar St
Wyandotte, MI 48192-4663
Mailing address
99 Poplar St
Wyandotte, MI 48192-4663
Phone (734) 282-6198
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422835200000",
"number": "1285024976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 POPLAR ST",
"city": "WYANDOTTE",
"state": "MI",
"postal_code": "481924663",
"telephone_number": "734-282-6198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 POPLAR ST",
"city": "WYANDOTTE",
"state": "MI",
"postal_code": "481924663",
"telephone_number": "734-282-6198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANCHEAU",
"first_name": "JACQUELINE",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-02",
"last_updated": "2015-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wyandotte, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.