Koresh, Madison Jean

Koresh, Madison Jean is an individual health care provider with primary practice located at 3769 Quarton Rd , Bloomfield Hills MI 48302-4058. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Koresh, Madison Jean can be contacted via phone (248) 894-1966.

Contact Information

Primary practice address
3769 Quarton Rd Bloomfield Hills MI 48302-4058
Phone: (248) 894-1966
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1013627611
LBN Legal business name Koresh, Madison Jean
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2022
Last updated Jun 3rd, 2024 - about 2 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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