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
Phone: (248) 203-0191
Fax: (248) 932-2949
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1548302391 | NPPES |
Michigan | Other | 68-0-F3-3238-0 | BCBS |
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