Lisiecki, Jacqueline Rene
Lisiecki, Jacqueline Rene is an individual health care provider with primary practice located at 7960 Grand River Rd 120, Brighton MI 48114-7330. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Lisiecki, Jacqueline Rene can be contacted via phone (810) 227-1999.Contact Information
Primary practice address
7960 Grand River Rd 120
Brighton MI 48114-7330
Phone: (810) 227-1999
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 6801059141 | Michigan |
Profile Details
| NPI number | 1538286471 |
|---|---|
| LBN Legal business name | Lisiecki, Jacqueline Rene |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538286471 | NPPES |
| Michigan | Other | 047108 | VALUE OPTIONS |
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