| Jan Ulrich Msw Llc | |
|
2010 Hogback Rd Ste 1a Ann Arbor MI 48105-9779 | |
| (734) 709-4160 | |
| Not Available |
| Full Name | Jan Ulrich Msw Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2010 Hogback Rd Ste 1a, Ann Arbor, Michigan |
| Authorized Official Name and Position | Jan Christine Ulrich (OWNER) |
| Authorized Official Contact | 7347094160 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jan Ulrich Msw Llc 2010 Hogback Rd Ste 1a Ann Arbor MI 48105-9779 Ph: (734) 709-4160 | Jan Ulrich Msw Llc 2010 Hogback Rd Ste 1a Ann Arbor MI 48105-9779 Ph: (734) 709-4160 |
| NPI Number | 1245865526 |
|---|---|
| Provider Enumeration Date | 03/07/2020 |
| Last Update Date | 03/07/2020 |
| Certification Date | 03/07/2020 |
| Medicare PECOS PAC ID | 3577965805 |
|---|---|
| Medicare Enrollment ID | O20210709000467 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245865526 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Jan C Ulrich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871638494 PECOS PAC ID: 9032341649 Enrollment ID: I20140414001978 |
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