Donnelly, Michael
Donnelly, Michael is an individual health care provider with primary practice located at 8562 Nc Highway 105 S Unit 102 , Boone NC 28607-7879. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Donnelly, Michael can be contacted via phone (828) 333-4170.Contact Information
Primary practice address
8562 Nc Highway 105 S Unit 102
Boone NC 28607-7879
Phone: (828) 333-4170
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C005577 | North Carolina |
Profile Details
| NPI number | 1447374723 |
|---|---|
| LBN Legal business name | Donnelly, Michael |
| Credentials | MSW, LCSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 19th, 2007 |
| Last updated | Nov 8th, 2023 - about 2 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 | 1447374723 | NPPES |
| North Carolina | MEDICAID | 6106654 | |
| North Carolina | Other | 1465J |
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