Fultz, Jill M.

Fultz, Jill M. is an individual health care provider with primary practice located at 43825 Michigan Ave , Canton MI 48188-2551. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fultz, Jill M. can be contacted via phone (734) 397-3088.

Contact Information

Primary practice address
43825 Michigan Ave Canton MI 48188-2551
Phone: (734) 397-3088
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6301012299 Michigan

Profile Details

NPI number 1659405629
LBN Legal business name Fultz, Jill M.
Credentials M.S., L.L.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 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.

Request for update

Popular Providers