MEDICARE: JOSEPH JACHER MS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	170300000X	Genetic Counselor (M.S.)

General Provider Information

NPI Number	:	1770963100
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH JACHER MS

Provider Business Mailing Address
First Line	:	1355 BOGUE ST RM B220
Second Line	:
City	:	EAST LANSING
State	:	MI
Zip	:	48824-6239
Country	:	US
Telephone Number	:	517-432-3870
Fax Number	:

Provider Business Practice Location Address
First Line	:	1355 BOGUE ST RM B220
Second Line	:
City	:	EAST LANSING
State	:	MI
Zip	:	48824-6239
Country	:	US
Telephone Number	:	517-432-3870
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2015
Last Update Date	:	07/06/2015

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