Wells, Jeanine B

Wells, Jeanine B is an sole proprietor health care provider with primary practice located at 4905 Berl Dr Ste 3, Saginaw MI 48604-2807. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Wells, Jeanine B can be contacted via phone (989) 790-5722.

Contact Information

Primary practice address
4905 Berl Dr Ste 3 Saginaw MI 48604-2807
Fax: (989) 790-7182
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 6301003292 Michigan

Profile Details

NPI number 1003962572
LBN Legal business name Wells, Jeanine B
Credentials LLP, MSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 26th, 2007
Last updated Aug 9th, 2017 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1003962572 NPPES
Michigan Other P57788 MHN EDS CLAIMS
Michigan Other 1008485 MHN EDS CLAIMS
Michigan Other XX09699 MHN EDS CLAIMS
Michigan Other P57788 MHN EDS CLAIMS

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