Provider Demographics
NPI:1871707406
Name:JAMISON, DOROTHY JEAN (MA, ATC)
Entity type:Individual
Prefix:MS
First Name:DOROTHY
Middle Name:JEAN
Last Name:JAMISON
Suffix:
Gender:F
Credentials:MA, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:49275 ROOSEVELT RD
Mailing Address - Street 2:
Mailing Address - City:HANCOCK
Mailing Address - State:MI
Mailing Address - Zip Code:49930-2300
Mailing Address - Country:US
Mailing Address - Phone:906-482-5074
Mailing Address - Fax:906-337-4772
Practice Address - Street 1:342 HECLA ST
Practice Address - Street 2:
Practice Address - City:LAURIUM
Practice Address - State:MI
Practice Address - Zip Code:49913-2128
Practice Address - Country:US
Practice Address - Phone:906-337-7000
Practice Address - Fax:906-337-4772
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer