Detrick, Jacqueline Marie
Detrick, Jacqueline Marie is an individual health care provider with primary practice located at 7400 Bay Rd , University Center MI 48710-0001. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Detrick, Jacqueline Marie can be contacted via phone (989) 964-7328.Contact Information
Primary practice address
7400 Bay Rd
University Center MI 48710-0001
Phone: (989) 964-7328
Fax: (989) 964-7389
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X |
Profile Details
| NPI number | 1871640367 |
|---|---|
| LBN Legal business name | Detrick, Jacqueline Marie |
| Credentials | M.ED., ATC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 5th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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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