Siberski, Jodi Lynn

Siberski, Jodi Lynn is an individual health care provider with primary practice located at 2045 E West Maple Rd Suite D-407, Commerce Township MI 48390-3801. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Siberski, Jodi Lynn can be contacted via phone (248) 624-3811.

Contact Information

Primary practice address
2045 E West Maple Rd Suite D-407 Commerce Township MI 48390-3801
Phone: (248) 624-3811
Fax: (248) 624-0368
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1487862165
LBN Legal business name Siberski, Jodi Lynn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2007
Last updated Jul 8th, 2007 - about 17 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 1487862165 NPPES
Michigan MEDICAID 1883825

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