Dr. Jennifer Ellen Doble
Physical Medicine & Rehabilitation Doctor
5333 Mcauley Dr Suite R2009
Ypsilanti
, Michigan 48197-1014
Dr. Jennifer Ellen Doble
Physical Medicine & Rehabilitation Doctor
5333 Mcauley Dr Suite R2009
Ypsilanti
, Michigan 48197-1014
(734) 717-1412
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About
Features
Specialties
- Physical Medicine & Rehabilitation Doctor
Languages spoken
- English
Location
First Address
- Dr. Jennifer Ellen Doble
- 2862 Leslie Park Cir
- Ann Arbor, MI
- Zip : 48105-9254
- Phone : (734) 717-1412
Second Address
- Dr. Jennifer Ellen Doble
- 5333 Mcauley Dr Suite R2009
- Ypsilanti, MI
- Zip : 48197-1014
- Fax : (734) 712-0055
- Phone : (734) 712-0050
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation Doctor | JD057676 | MI |
National Provider Identifier
| NPI | 1043201098 |
|---|---|
| Provider Name | Dr. Jennifer Ellen Doble |
| First Address | Ann Arbor, MI 48105-9254 |
| Second Address | Ypsilanti, MI 48197-1014 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/10/2005 |
| Last Update Date | 23/02/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 250012974 | MEDICARE RAILROAD (01) | MI |
| 250H110020 | BCBS OF MICHIGAN (01) | MI |
| 4387348 | (05) | MI |
| G55844 | (02) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.