Jerome Czinder
Individual provider Active NPI Homemaker · Traverse City, MI
NPI 1295595213 · NPPES record last updated Mar 19, 2024
Key facts
- NPI
- 1295595213
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Homemaker 376J00000X
- Practice address
- 1667 Bay Hill Ter
Traverse City, MI 49684-5650 - Phone
- (231) 649-7388
- NPI assigned
- Mar 19, 2024
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Homemaker | 376J00000X | Yes |
Addresses
Primary practice location
1667 Bay Hill Ter
Traverse City, MI 49684-5650
Mailing address
715 Fern St Apt 4
Traverse City, MI 49686-3460
Other providers in Traverse City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 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.