Healthcare Provider Details

I. General information

NPI: 1841527983
Provider Name (Legal Business Name): JENNIFER A SCHUCH MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JENNIFER A LOSINSKI MSW

II. Dates (important events)

Enumeration Date: 11/11/2009
Last Update Date: 01/17/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 W CHISHOLM ST
ALPENA MI
49707-1401
US

IV. Provider business mailing address

1501 W CHISHOLM ST
ALPENA MI
49707-1401
US

V. Phone/Fax

Practice location:
  • Phone: 989-356-7242
  • Fax: 989-356-8013
Mailing address:
  • Phone: 989-356-7242
  • Fax: 989-356-8013

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801082973
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: