Bissett, Agnes Anne
Bissett, Agnes Anne is an individual health care provider with primary practice located at 1209 Richardson St , Port Huron MI 48060-3548. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bissett, Agnes Anne can be contacted via phone (810) 984-5156.Contact Information
Primary practice address
1209 Richardson St
Port Huron MI 48060-3548
Phone: (810) 984-5156
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 643729 | Michigan |
Profile Details
| NPI number | 1972644458 |
|---|---|
| LBN Legal business name | Bissett, Agnes Anne |
| Credentials | LMSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 9th, 2007 |
| Last updated | Sep 2nd, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972644458 | NPPES |
| Other | 0M85900 | MEDICARE GROUP PTAN | |
| Other | M85900021 | MEDICARE GROUP PTAN |
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