Crocilla, Antoinette
Crocilla, Antoinette is an individual health care provider with primary practice located at 127 N Washington St , Ypsilanti MI 48197-2619. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Crocilla, Antoinette can be contacted via phone (734) 682-5544.Contact Information
Primary practice address
127 N Washington St
Ypsilanti MI 48197-2619
Phone: (734) 682-5544
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 6301016439 | Michigan |
Profile Details
| NPI number | 1861828410 |
|---|---|
| LBN Legal business name | Crocilla, Antoinette |
| Credentials | PSYD LP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2013 |
| Last updated | Sep 1st, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861828410 | NPPES |
| Michigan | MEDICAID | 1982147302 |
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