Koeltzow, Debbie

Koeltzow, Debbie is an individual health care provider with primary practice located at 810 E Grand River Ave #101, Brighton MI 48116-1878. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Koeltzow, Debbie can be contacted via phone (810) 588-4236.

Contact Information

Primary practice address
810 E Grand River Ave #101 Brighton MI 48116-1878
Phone: (810) 588-4236
Fax: (810) 588-4247
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6301011430 Michigan

Profile Details

NPI number 1902004070
LBN Legal business name Koeltzow, Debbie
Credentials EDD, LP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2007
Last updated Apr 27th, 2009 - about 15 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 1902004070 NPPES
Michigan Other 68OH113370 BC/BC OF MICHIGAN
Michigan Other 143449 BC/BC OF MICHIGAN
Michigan Other 382695674 BC/BC OF MICHIGAN
Michigan Other 382695674 BC/BC OF MICHIGAN

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