Weathers, Jill
Weathers, Jill is an individual health care provider with primary practice located at 28000 Woodward Ave , Royal Oak MI 48067-0960. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Weathers, Jill can be contacted via phone (248) 440-1513.Contact Information
Primary practice address
28000 Woodward Ave
Royal Oak MI 48067-0960
Phone: (248) 440-1513
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1174198766 |
|---|---|
| LBN Legal business name | Weathers, Jill |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2021 |
| Last updated | May 25th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174198766 | NPPES |
| Michigan | MEDICAID | 1497760086 |
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