Jenuwine, Michael James
Jenuwine, Michael James is an sole proprietor health care provider with primary practice located at 725 Howard St , South Bend IN 46617-1529. He recently has only one registered license in Behavioral Health & Social Service Providers / Forensic, which is considered as his primary health care specialty. Jenuwine, Michael James can be contacted via phone (574) 631-7795.Contact Information
Primary practice address
725 Howard St
South Bend IN 46617-1529
Phone: (574) 631-7795
Fax: (574) 631-6725
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Forensic | 103TF0200X | 20041826A | Indiana |
| Behavioral Health & Social Service Providers / Forensic | 103TF0200X | Illinois |
Profile Details
| NPI number | 1336345008 |
|---|---|
| LBN Legal business name | Jenuwine, Michael James |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 21st, 2007 |
| 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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