Kollie, Sundra

Kollie, Sundra is an individual health care provider with primary practice located at 13220 Woodward Ave , Highland Park MI 48203-3610. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Kollie, Sundra can be contacted via phone (313) 868-1946.

Contact Information

Primary practice address
13220 Woodward Ave Highland Park MI 48203-3610
Phone: (313) 868-1946
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1-02360 Michigan

Profile Details

NPI number 1417072018
LBN Legal business name Kollie, Sundra
Credentials M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2007
Last updated Jul 9th, 2007 - about 18 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 1417072018 NPPES
Michigan MEDICAID 3022440

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