Etzkorn, James Phillip

Etzkorn, James Phillip is an individual health care provider with primary practice located at 400 Maynard St Suite 603, Ann Arbor MI 48104-2440. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Etzkorn, James Phillip can be contacted via phone (734) 913-9761.

Contact Information

Primary practice address
400 Maynard St Suite 603 Ann Arbor MI 48104-2440
Phone: (734) 913-9761
Fax: (734) 222-7054
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 6301009499 Michigan

Profile Details

NPI number 1275523904
LBN Legal business name Etzkorn, James Phillip
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2005
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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