Jerichow, Alexandria
Jerichow, Alexandria is an individual health care provider with primary practice located at 42500 Hayes Rd Ste 500 , Clinton Township MI 48038-6768. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jerichow, Alexandria can be contacted via phone (586) 828-1221.Contact Information
Primary practice address
42500 Hayes Rd Ste 500
Clinton Township MI 48038-6768
Phone: (586) 828-1221
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 630101787 | Michigan |
Profile Details
| NPI number | 1902463169 |
|---|---|
| LBN Legal business name | Jerichow, Alexandria |
| Credentials | MA, TLLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2019 |
| Last updated | May 23rd, 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 | 1902463169 | NPPES |
| Michigan | MEDICAID | 14473184 |
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