Charles, Jasmine
Charles, Jasmine is an sole proprietor health care provider with primary practice located at 14799 Dix Toledo Rd , Southgate MI 48195-2507. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Charles, Jasmine can be contacted via phone (734) 324-8326.Contact Information
Primary practice address
14799 Dix Toledo Rd
Southgate MI 48195-2507
Phone: (734) 324-8326
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
| NPI number | 1548645351 |
|---|---|
| LBN Legal business name | Charles, Jasmine |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 22nd, 2015 |
| Last updated | May 27th, 2016 - about 10 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 | 1548645351 | NPPES |
| Michigan | MEDICAID | 1669451944 |
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