Tipton, Jacob

Tipton, Jacob is an sole proprietor health care provider with primary practice located at 7310 Woodward Ave , Detroit MI 48202-3165. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Technologists, Technicians & Other Technical Service Providers / Technician, Other, Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Tipton, Jacob can be contacted via phone (313) 896-1444.

Contact Information

Primary practice address
7310 Woodward Ave Detroit MI 48202-3165
Phone: (313) 896-1444
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X Michigan
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6362009753 Michigan

Profile Details

NPI number 1407352610
LBN Legal business name Tipton, Jacob
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 5th, 2018
Last updated Aug 10th, 2023 - 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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