Drake, Jeremy

Drake, Jeremy is an sole proprietor health care provider with primary practice located at 14932 Mercury Dr , Grand Haven MI 49417-9521. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Drake, Jeremy can be contacted via phone (616) 405-1702.

Contact Information

Primary practice address
14932 Mercury Dr Grand Haven MI 49417-9521
Phone: (616) 405-1702
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 6401011440 Michigan

Profile Details

NPI number 1942432901
LBN Legal business name Drake, Jeremy
Credentials M.A, L.L.P.C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 10th, 2009
Last updated Apr 12th, 2012 - about 12 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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