National Provider Identifier Database

COLLECTIVE IMPACT SERVICES LLC
Professional


Contact Information

COLLECTIVE IMPACT SERVICES LLC
616 ELIZABETH ST
PETOSKEY, MI49770
Phone: 231-758-6776
Fax:
Website:
Specialty Taxonomy Code
* Professional 101YP2500X

* Indicates primary specialty

NPI Profile & details for COLLECTIVE IMPACT SERVICES LLC

NPI Number 1083317010
Legal business name
LBN
COLLECTIVE IMPACT SERVICES LLC
Authorized official JULIE CLARK - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 03/27/2023
Last updated 04/17/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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