Jr Brill Inc | |
4345 Meigs Ave Waterford MI 48329-1877 | |
(248) 431-1047 | |
Not Available |
Full Name | Jr Brill Inc |
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Speciality | Community/Behavioral Health |
Location | 4345 Meigs Ave, Waterford, Michigan |
Authorized Official Name and Position | Robert Julian Brill (PSYCHOTHERAPIST) |
Authorized Official Contact | 2484311047 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Jr Brill Inc 8125 Pepper Rd Holly MI 48442-8657 Ph: (248) 431-1047 | Jr Brill Inc 4345 Meigs Ave Waterford MI 48329-1877 Ph: (248) 431-1047 |
NPI Number | 1477190155 |
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Provider Enumeration Date | 12/02/2019 |
Last Update Date | 01/21/2021 |
Certification Date | 01/21/2021 |
Medicare PECOS PAC ID | 8527479542 |
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Medicare Enrollment ID | O20201124001190 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477190155 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Robert J Brill |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1306229554 PECOS PAC ID: 0749556744 Enrollment ID: I20171018002780 |
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