Dunham, Michelle Lee
Dunham, Michelle Lee is an individual health care provider with primary practice located at 1062 State Route 38 , Owego NY 13827-3209. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Dunham, Michelle Lee can be contacted via phone (607) 687-8145.Contact Information
Primary practice address
1062 State Route 38
Owego NY 13827-3209
Phone: (607) 687-8145
Fax: (607) 687-6396
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 18532 | New York |
Profile Details
| NPI number | 1306370481 |
|---|---|
| LBN Legal business name | Dunham, Michelle Lee |
| Credentials | CASAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 17th, 2017 |
| Last updated | Apr 17th, 2017 - about 8 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 | 1306370481 | NPPES |
| New York | MEDICAID | 02249145 |
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