Kendra, Sophia Barbara
Kendra, Sophia Barbara is an individual health care provider with primary practice located at 2B S Washington St , Oxford MI 48371-4971. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Kendra, Sophia Barbara can be contacted via phone (248) 834-0614.Contact Information
Primary practice address
2B S Washington St
Oxford MI 48371-4971
Phone: (248) 834-0614
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 6451022507 | Michigan |
Profile Details
| NPI number | 1780308320 |
|---|---|
| LBN Legal business name | Kendra, Sophia Barbara |
| Credentials | MA, SCL, LLC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2022 |
| Last updated | Sep 27th, 2022 - about 2 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 | 1780308320 | NPPES |
| Michigan | MEDICAID | K536772081630 |
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