Jasmin M Perez, PHARMACY TECHNICIAN

Individual provider Active NPI Independent Medical Examiner Physician · Eaton Rapids, MI

NPI 1669144697 · NPPES record last updated Sep 28, 2021

Key facts

NPI
1669144697
Entity type
Individual (NPI type 1)
Primary specialty
Independent Medical Examiner Physician 202C00000X
License
5303038362 (MI)
Practice address
715 S Main St
Eaton Rapids, MI 48827-1427
Phone
(517) 663-8430
Fax
(517) 663-8441
NPI assigned
Sep 28, 2021
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
5303038362MIMDIndependent Medical Examiner Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rite Aid of Michigan Inc Past
since Oct 5, 2021
Accepting new patients
Rite Aid of Michigan Inc Past
since Oct 5, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Medical Examiner Physician 202C00000X 5303038362 MI Yes

Addresses

Primary practice location

715 S Main St
Eaton Rapids, MI 48827-1427

Mailing address

11433 Plains Hwy
Eaton Rapids, MI 48827-9747
Phone (517) 528-6927

Other providers in Eaton Rapids, MI

All providers in Eaton Rapids, MI · Independent Medical Examiner Physician in Michigan

Sources for this page

Verify at the official NPI Registry.