Jefferson, Willie

Jefferson, Willie is an sole proprietor health care provider with primary practice located at 230 Huron Ave , Port Huron MI 48060-3822. He recently has only one registered license in Nursing Service Related Providers / Day Training/Habilitation Specialist, which is considered as his primary health care specialty. Jefferson, Willie can be contacted via phone (810) 966-4473.

Contact Information

Primary practice address
230 Huron Ave Port Huron MI 48060-3822
Phone: (810) 966-4473
Fax: (810) 985-9498
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X

Profile Details

NPI number 1932212453
LBN Legal business name Jefferson, Willie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 17th, 2006
Last updated Jul 8th, 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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