Provider Demographics
NPI:1972532851
Name:HOULE, JORRIE A (DO)
Entity Type:Individual
Prefix:
First Name:JORRIE
Middle Name:A
Last Name:HOULE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:JORRIE
Other - Middle Name:A
Other - Last Name:BEDOGNE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:64 ELDER DR
Mailing Address - Street 2:
Mailing Address - City:MARQUETTE
Mailing Address - State:MI
Mailing Address - Zip Code:49855-1667
Mailing Address - Country:US
Mailing Address - Phone:906-225-3881
Mailing Address - Fax:906-225-0994
Practice Address - Street 1:1414 W FAIR AVE STE 390
Practice Address - Street 2:
Practice Address - City:MARQUETTE
Practice Address - State:MI
Practice Address - Zip Code:49855-5407
Practice Address - Country:US
Practice Address - Phone:906-225-3881
Practice Address - Fax:906-225-0994
Is Sole Proprietor?:No
Enumeration Date:2006-07-02
Last Update Date:2010-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101016712207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology