Thomas, Raven
Thomas, Raven is an sole proprietor health care provider with primary practice located at 28303 Dequindre Rd Ste 100 , Madison Heights MI 48071-3040. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Thomas, Raven can be contacted via phone (248) 658-1116.Contact Information
Primary practice address
28303 Dequindre Rd Ste 100
Madison Heights MI 48071-3040
Phone: (248) 658-1116
Fax: (248) 658-1120
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1255900254 |
|---|---|
| LBN Legal business name | Thomas, Raven |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 23rd, 2021 |
| Last updated | Jun 23rd, 2021 - about 4 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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