St. John, Sharyl Lynn

St. John, Sharyl Lynn is an individual health care provider with primary practice located at 1662 E Centre Ave Suite B, Portage MI 49002-4410. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. St. John, Sharyl Lynn can be contacted via phone (269) 321-8564.

Contact Information

Primary practice address
1662 E Centre Ave Suite B Portage MI 49002-4410
Phone: (269) 321-8564
Fax: (269) 321-8641
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801084006 Michigan

Profile Details

NPI number 1528044765
LBN Legal business name St. John, Sharyl Lynn
Credentials L.M.S.W.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2005
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 1528044765 NPPES
Michigan Other 544987 VALUE OPTIONS
Michigan Other 80-0-89-7097-0 VALUE OPTIONS

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