Miner, Jillissa Starr
Miner, Jillissa Starr is an individual health care provider with primary practice located at 42 44Th St Sw , Grandville MI 49418-2177. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Miner, Jillissa Starr can be contacted via phone (844) 854-1116.Contact Information
Primary practice address
42 44Th St Sw
Grandville MI 49418-2177
Phone: (844) 854-1116
Fax: (305) 846-9711
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1821729823 |
|---|---|
| LBN Legal business name | Miner, Jillissa Starr |
| Credentials | BT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2022 |
| Last updated | Jun 21st, 2022 - about 3 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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