Yatooma, Jeremy

Yatooma, Jeremy is an sole proprietor health care provider with primary practice located at 113 N River St , Fenton MI 48430-2697. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Yatooma, Jeremy can be contacted via phone (248) 909-9955.

Contact Information

Primary practice address
113 N River St Fenton MI 48430-2697
Phone: (248) 909-9955
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801098827 Michigan

Profile Details

NPI number 1689035594
LBN Legal business name Yatooma, Jeremy
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 19th, 2016
Last updated Mar 19th, 2016 - about 8 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 1689035594 NPPES
Michigan MEDICAID 2868058

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