Roelofs, Phyllis Ruth

Roelofs, Phyllis Ruth is an sole proprietor health care provider with primary practice located at 4426 Wisteria Ct , Warren MI 48092-6116. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Roelofs, Phyllis Ruth can be contacted via phone (248) 459-2002.

Contact Information

Primary practice address
4426 Wisteria Ct Warren MI 48092-6116
Phone: (248) 459-2002
Fax: (586) 574-0389
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801060243 Michigan

Profile Details

NPI number 1649314956
LBN Legal business name Roelofs, Phyllis Ruth
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 19th, 2007
Last updated Feb 13th, 2014 - about 10 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 1649314956 NPPES
Michigan Other 8009078570 BLUECROSSBLUESHIELD
Michigan Other 040252 BLUECROSSBLUESHIELD

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