Crockett, Terrie

Crockett, Terrie is an sole proprietor health care provider with primary practice located at 304 W Tobias St , Flint MI 48503-3975. She recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as her primary health care specialty. Crockett, Terrie can be contacted via phone (810) 233-4093.

Contact Information

Primary practice address
304 W Tobias St Flint MI 48503-3975
Phone: (810) 233-4093
Fax: (810) 233-4964
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1467820563
LBN Legal business name Crockett, Terrie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 4th, 2015
Last updated Sep 4th, 2015 - about 9 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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