Agents, Jill
Agents, Jill is an individual health care provider with primary practice located at 3809 Lake Eastbrook Blvd Se , Grand Rapids MI 49546-5931. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Agents, Jill can be contacted via phone (616) 604-8493.Contact Information
Primary practice address
3809 Lake Eastbrook Blvd Se
Grand Rapids MI 49546-5931
Phone: (616) 604-8493
Fax: (616) 604-8493
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
NPI number | 1942910773 |
---|---|
LBN Legal business name | Agents, Jill |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 2nd, 2022 |
Last updated | Jun 1st, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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