MEDICARE: KJ BUSINESS MANAGEMENT LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171400000X	Health & Wellness Coach

General Provider Information

NPI Number	:	1275482309
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KJ BUSINESS MANAGEMENT LLC

Provider Business Mailing Address
First Line	:	700 JUNCTION ST
Second Line	:
City	:	PLYMOUTH
State	:	MI
Zip	:	48170-1228
Country	:	US
Telephone Number	:	313-418-8774
Fax Number	:

Provider Business Practice Location Address
First Line	:	46370 DEQUINDRE RD
Second Line	:
City	:	SHELBY TOWNSHIP
State	:	MI
Zip	:	48317-3814
Country	:	US
Telephone Number	:	313-418-8774
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JOSEPH COLLICK
Credential	:
Telephone Number	:	313-418-8774

Provider Enumeration Date	:	01/22/2026
Last Update Date	:	01/22/2026

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