Jacob, Lauren Betty
Jacob, Lauren Betty is an sole proprietor health care provider with primary practice located at 2351 W. 12 Mile Rd. , Berkley MI 48072-1826. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jacob, Lauren Betty can be contacted via phone (248) 544-4004.Contact Information
Primary practice address
2351 W. 12 Mile Rd.
Berkley MI 48072-1826
Phone: (248) 544-4004
Fax: (248) 544-4113
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | L2310588 | Michigan |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 6301015300 | Michigan |
Profile Details
| NPI number | 1518300847 |
|---|---|
| LBN Legal business name | Jacob, Lauren Betty |
| Credentials | MA, TLLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 17th, 2013 |
| Last updated | Jun 1st, 2016 - about 10 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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