Jackson, Elizabeth Marie
Jackson, Elizabeth Marie is an sole proprietor health care provider with primary practice located at 43155 Main St Atrium 2300 Suite I, Novi MI 48375-1777. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Jackson, Elizabeth Marie can be contacted via phone (734) 656-8191.Contact Information
Primary practice address
43155 Main St Atrium 2300 Suite I
Novi MI 48375-1777
Phone: (734) 656-8191
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 6301016009 | Michigan |
Profile Details
| NPI number | 1013373240 |
|---|---|
| LBN Legal business name | Jackson, Elizabeth Marie |
| Credentials | MA, TLLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 4th, 2016 |
| Last updated | May 17th, 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.
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