Anderson, Jill Cavillo

Anderson, Jill Cavillo is an individual health care provider with primary practice located at 555 Towner St , Ypsilanti MI 48198-5752. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Anderson, Jill Cavillo can be contacted via phone (734) 544-3050.

Contact Information

Primary practice address
555 Towner St Ypsilanti MI 48198-5752
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801081787 Michigan

Profile Details

NPI number 1457391419
LBN Legal business name Anderson, Jill Cavillo
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Oct 8th, 2014 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1457391419 NPPES
Michigan Other 1457391419 NPPES

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