Donald Jaquish (NPI# 1710056254, PAC ID# 5395649925) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
Nation Provider ID (NPI) | 1710056254 |
PAC ID by PECOS | 5395649925 |
Professional Enrollment ID | I20031125000055 |
Full Name | Donald Jaquish |
Address |
902 W Front St Traverse City MI 49689-2328 |
Phone Number | 2319462575 |
Gender | M |
Credential | CSW |
Graduation Year | 1966 |
Primary Specialty | CLINICAL SOCIAL WORKER |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
902 W Front St, Traverse City, MI 49689-2328 | 2319462575 |
Street Address |
902 W FRONT ST |
City | TRAVERSE CITY |
State | MI |
Zip | 49689-2328 |
Name | Specialty | Organization | Address |
---|---|---|---|
Steven C Mccleary | Clinical Social Worker | 902 W Front St, Traverse City, MI 49684-2328 | |
Louise Johnson Firebaugh | Clinical Social Worker | 902 W Front St, Traverse City, MI 49684-2328 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jordan Warnsholz | Physician Assistant | 14477 Caberfae Hwy, Wellston, MI 49689-9315 | |
Bradley L Bliss | Physician Assistant | Wellston Medical Center Pllc | 14477 Caberfae Hwy, Wellston, MI 49689-9315 |
Alexander J Warnsholz | Physician Assistant | Wellston Medical Center Pllc | 14477 Caberfae Hwy, Wellston, MI 49689-9315 |
City | TRAVERSE CITY |
Zip Code | 49689 |
Specialty | CLINICAL SOCIAL WORKER |
City + Specialty | TRAVERSE CITY + CLINICAL SOCIAL WORKER |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.