Gillum, Jacquelyn
Gillum, Jacquelyn is an individual health care provider with primary practice located at 1132 Clair Circle P.O., Ann Arbor MI 48103-4810. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Gillum, Jacquelyn can be contacted via phone (734) 545-0188.Contact Information
Primary practice address
1132 Clair Circle P.O.
Ann Arbor MI 48103-4810
Phone: (734) 545-0188
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X | AS810014833 | Michigan |
Profile Details
| NPI number | 1295207686 |
|---|---|
| LBN Legal business name | Gillum, Jacquelyn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 22nd, 2018 |
| Last updated | Dec 22nd, 2018 - about 6 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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