Hillstrom, Dawn Renee Terez
Hillstrom, Dawn Renee Terez is an sole proprietor health care provider with primary practice located at 50258 Van Dyke Ave Ste A , Shelby Township MI 48317-1374. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Hillstrom, Dawn Renee Terez can be contacted via phone (586) 884-4714.Contact Information
Primary practice address
50258 Van Dyke Ave Ste A
Shelby Township MI 48317-1374
Phone: (586) 884-4714
Fax: (586) 884-4693
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 640101875 | Michigan |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 6401018750 | Michigan |
Profile Details
| NPI number | 1407456262 |
|---|---|
| LBN Legal business name | Hillstrom, Dawn Renee Terez |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 29th, 2020 |
| Last updated | Oct 29th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407456262 | NPPES |
| Michigan | MEDICAID | 6401018750 |
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