Individual provider · Type 1 NPI

Ebony Chisolm

Other Technician · Jackson, MI

NPI number 1487301446 Active

Practice location

1001 Laurence Ave Ste E
Jackson, MI 49202-2980

Call (517) 750-4777 Map

Mailing address

2926 Woods Circle Dr Apt 1
Jackson, MI 49203-2282

Other practice locations

  • 2926 Woods Circle Dr Apt 1, Jackson, MI 49203-2282 · (517) 936-9414

Specialties and licenses

TaxonomyCodeLicense
Other Technician Primary 247200000XNone listed

Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

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About NPI 1487301446

Ebony Chisolm's National Provider Identifier is 1487301446, issued on Mar 9, 2022. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Jackson, MI. The record was last updated on Mar 9, 2022.