Heavenrich, James Louis

Heavenrich, James Louis is an sole proprietor health care provider with primary practice located at 415 W Grand River Ave , East Lansing MI 48823-4201. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Heavenrich, James Louis can be contacted via phone (517) 337-2545.

Contact Information

Primary practice address
415 W Grand River Ave East Lansing MI 48823-4201
Phone: (517) 337-2545
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1124212410
LBN Legal business name Heavenrich, James Louis
Credentials MSSA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2007
Last updated Aug 30th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1124212410 NPPES
Michigan Other 6801058468 STATE OF MICHIGAN

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