Kercorian, Robert A

Kercorian, Robert A is an sole proprietor health care provider with primary practice located at 42669 Garfield Rd , Clinton Township MI 48038-5036. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Kercorian, Robert A can be contacted via phone (586) 412-5321.

Contact Information

Primary practice address
42669 Garfield Rd Clinton Township MI 48038-5036
Phone: (586) 412-5321
Fax: (586) 412-5327
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801003021 Michigan
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 4101000530 Michigan

Profile Details

NPI number 1841551876
LBN Legal business name Kercorian, Robert A
Credentials LMSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 6th, 2012
Last updated Jun 6th, 2012 - about 13 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 1841551876 NPPES
Michigan Other 00260F7 HAP
Michigan Other 750910402 HAP
Michigan Other 750910402 HAP
Michigan Other 750910402 HAP
Michigan Other 032919 HAP
Michigan Other 750910402 HAP
Michigan Other 750910402 HAP
Michigan Other XX19153 HAP
Michigan Other 750910402 HAP

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