Ditsky, Michael George

Ditsky, Michael George is an sole proprietor health care provider with primary practice located at 7002 River Front Dr 900A, Sugar Land TX 77479. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Ditsky, Michael George can be contacted via phone (281) 770-0826.

Contact Information

Primary practice address
7002 River Front Dr 900A Sugar Land TX 77479
Fax: (281) 656-6621
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 34088 Texas

Profile Details

NPI number 1235175985
LBN Legal business name Ditsky, Michael George
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 21st, 2006
Last updated Feb 4th, 2014 - about 12 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 1235175985 NPPES
Pennsylvania Other 01081201 CAPITAL BLUE CROSS
Pennsylvania Other 412766 CAPITAL BLUE CROSS
Pennsylvania Other 611638 CAPITAL BLUE CROSS
Pennsylvania Other 366298 CAPITAL BLUE CROSS
Pennsylvania Other 273439000 CAPITAL BLUE CROSS
Pennsylvania Other 2249048 CAPITAL BLUE CROSS

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