Kelley, Jane Ellen

Kelley, Jane Ellen is an sole proprietor health care provider with primary practice located at 999 Haynes St 235 , Birmingham MI 48009-6702. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kelley, Jane Ellen can be contacted via phone (248) 203-0191.

Contact Information

Primary practice address
999 Haynes St 235 Birmingham MI 48009-6702
Fax: (248) 932-2949
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6301010052 Michigan

Profile Details

NPI number 1548302391
LBN Legal business name Kelley, Jane Ellen
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 12th, 2007
Last updated Sep 4th, 2015 - about 9 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 1548302391 NPPES
Michigan Other 68-0-F3-3238-0 BCBS

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