Search › Michigan › 225100000X
Jacob Shell
NPI 1558889162 · on the registry since 2017 · sole proprietor
Practice
- Address
- 4403 Betty Lee Blvd
Gladwin, MI 48624 - Phone
- (989) 329-8460
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 2255A2300X
390200000X - Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-10-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan