Healthcare Provider Details

I. General information

NPI: 1770963100
Provider Name (Legal Business Name): JOSEPH JACHER MS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2015
Last Update Date: 07/06/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1355 BOGUE ST RM B220
EAST LANSING MI
48824-6239
US

IV. Provider business mailing address

1355 BOGUE ST RM B220
EAST LANSING MI
48824-6239
US

V. Phone/Fax

Practice location:
  • Phone: 517-432-3870
  • Fax:
Mailing address:
  • Phone: 517-432-3870
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: