Shively, Jeffery Everett
Shively, Jeffery Everett is an sole proprietor health care provider with primary practice located at 354 Charterhouse Ct , Canton MI 48188-1520. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Shively, Jeffery Everett can be contacted via phone (734) 625-4524.Contact Information
Primary practice address
354 Charterhouse Ct
Canton MI 48188-1520
Phone: (734) 625-4524
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X |
Profile Details
| NPI number | 1750771747 |
|---|---|
| LBN Legal business name | Shively, Jeffery Everett |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 28th, 2015 |
| Last updated | Jan 28th, 2015 - about 9 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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