Blacktop, Ann Marie
Blacktop, Ann Marie is an individual health care provider with primary practice located at 611 E Main St , Hart MI 49420-1190. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Blacktop, Ann Marie can be contacted via phone (231) 873-5675.Contact Information
Primary practice address
611 E Main St
Hart MI 49420-1190
Phone: (231) 873-5675
Fax: (231) 873-4805
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | AB033570 | Michigan |
Profile Details
| NPI number | 1689605230 |
|---|---|
| LBN Legal business name | Blacktop, Ann Marie |
| Credentials | LMSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2006 |
| Last updated | May 22nd, 2009 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689605230 | NPPES |
| Michigan | Other | 800F410320 | BCBSMI |
| Michigan | Other | 383119096 | BCBSMI |
| Michigan | Other | 8008974220 | BCBSMI |
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