Cullom, Jennifer

Cullom, Jennifer is an individual health care provider with primary practice located at 12265 James St , Holland MI 49424-8613. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Cullom, Jennifer can be contacted via phone (616) 393-5600.

Contact Information

Primary practice address
12265 James St Holland MI 49424-8613
Phone: (616) 393-5600
Fax: (616) 393-5687
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1457895526
LBN Legal business name Cullom, Jennifer
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2016
Last updated Dec 8th, 2016 - about 8 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.

Request for update

Popular Providers