Dutton, Jack A

Dutton, Jack A is an sole proprietor health care provider with primary practice located at 217 E Sanilac Rd , Sandusky MI 48471-1383. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Dutton, Jack A can be contacted via phone (810) 583-0393.

Contact Information

Primary practice address
217 E Sanilac Rd Sandusky MI 48471-1383
Phone: (810) 583-0393
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 6401003332 Michigan
Behavioral Health & Social Service Providers / Social Worker 104100000X 6802035127 Michigan

Profile Details

NPI number 1285735357
LBN Legal business name Dutton, Jack A
Credentials MA, LPC, LBSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2006
Last updated Jul 8th, 2007 - about 19 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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