Jentons, Ricky Lee

Jentons, Ricky Lee is an sole proprietor health care provider with primary practice located at 18181 Oakwood Blvd 311, Dearborn MI 48124-5032. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Jentons, Ricky Lee can be contacted via phone (313) 271-8170.

Contact Information

Primary practice address
18181 Oakwood Blvd 311 Dearborn MI 48124-5032
Phone: (313) 271-8170
Fax: (313) 271-8353
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 6301005971 Michigan
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6301005971 Michigan

Profile Details

NPI number 1922297076
LBN Legal business name Jentons, Ricky Lee
Credentials MALLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 15th, 2007
Last updated May 20th, 2008 - about 16 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 1922297076 NPPES
Michigan Other 0N15280 APEX BEHAVIORAL HEALTH P.L.L.C. MEDICARE GROUP PIN NO.
Michigan Other 6301005971 APEX BEHAVIORAL HEALTH P.L.L.C. MEDICARE GROUP PIN NO.

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