Chlumsky, Michael Lee

Chlumsky, Michael Lee is an sole proprietor health care provider with primary practice located at 607 Zecca Dr , Gallup NM 87301-4848. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Chlumsky, Michael Lee can be contacted via phone (505) 722-4015.

Contact Information

Primary practice address
607 Zecca Dr Gallup NM 87301-4848
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 254414 New Mexico

Profile Details

NPI number 1518183771
LBN Legal business name Chlumsky, Michael Lee
Credentials LPCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 17th, 2007
Last updated Jul 8th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518183771 NPPES
New Mexico MEDICAID 61486787

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