Dunham, Michelle
Dunham, Michelle is an sole proprietor health care provider with primary practice located at 726 South Blvd Apt 6 , Lakeland FL 33801-5589. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Dunham, Michelle can be contacted via phone (863) 286-7826.Contact Information
Primary practice address
726 South Blvd Apt 6
Lakeland FL 33801-5589
Phone: (863) 286-7826
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | CW-0047842014 | Florida |
Profile Details
| NPI number | 1295130326 |
|---|---|
| LBN Legal business name | Dunham, Michelle |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 31st, 2014 |
| Last updated | Oct 31st, 2014 - about 10 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 | 1295130326 | NPPES |
| Florida | MEDICAID | 002379300 |
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