Dudley, Sara Jean
Dudley, Sara Jean is an sole proprietor health care provider with primary practice located at 500 Hancock St , Saginaw MI 48602-4224. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Dudley, Sara Jean can be contacted via phone (989) 797-3400.Contact Information
Primary practice address
500 Hancock St
Saginaw MI 48602-4224
Phone: (989) 797-3400
Fax: (989) 799-0206
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X | ||
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | 6802090483 | Michigan |
Profile Details
| NPI number | 1770004731 |
|---|---|
| LBN Legal business name | Dudley, Sara Jean |
| Credentials | LLBSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 29th, 2017 |
| Last updated | Nov 8th, 2019 - about 7 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 | 1770004731 | NPPES |
| Michigan | MEDICAID | G642758385640 |
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