Vantreese, Jim Charles

Vantreese, Jim Charles is an sole proprietor health care provider with primary practice located at 4845 Snyder Ave , Fremont MI 49412-9502. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as his primary health care specialty. Vantreese, Jim Charles can be contacted via phone (231) 924-6920.

Contact Information

Primary practice address
4845 Snyder Ave Fremont MI 49412-9502
Phone: (231) 924-6920
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 6301002725 Michigan

Profile Details

NPI number 1871646307
LBN Legal business name Vantreese, Jim Charles
Credentials PH.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 19th, 2007
Last updated Jul 8th, 2007 - about 19 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 1871646307 NPPES
Michigan Other 620F24513 BCBSM

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