Provider Demographics
NPI:1689302945
Name:JOCIS, FRANCIS G
Entity Type:Individual
Prefix:
First Name:FRANCIS
Middle Name:G
Last Name:JOCIS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5157 CARSON AVE SW
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49548-5647
Mailing Address - Country:US
Mailing Address - Phone:616-443-4698
Mailing Address - Fax:
Practice Address - Street 1:5157 CARSON AVE SW
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49548-5647
Practice Address - Country:US
Practice Address - Phone:616-443-4698
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-12
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver