Soulia, Jesse

Soulia, Jesse is an sole proprietor health care provider with primary practice located at 1309 S Linden Rd Ste D , Flint MI 48532-3443. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Soulia, Jesse can be contacted via phone (810) 732-6111.

Contact Information

Primary practice address
1309 S Linden Rd Ste D Flint MI 48532-3443
Fax: (810) 732-6185
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6301006715 Michigan

Profile Details

NPI number 1942326087
LBN Legal business name Soulia, Jesse
Credentials PSY.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 21st, 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 1942326087 NPPES
Michigan Other 266250000 MAGELLAN
Michigan Other 680B546150 MAGELLAN

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