Faust, Michael William

Faust, Michael William is an sole proprietor health care provider with primary practice located at 1730 W 25Th St , Cleveland OH 44113-3108. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Faust, Michael William can be contacted via phone (216) 363-2363.

Contact Information

Primary practice address
1730 W 25Th St Cleveland OH 44113-3108
Fax: (216) 696-7488
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 4749 Ohio

Profile Details

NPI number 1356387468
LBN Legal business name Faust, Michael William
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 20th, 2006
Last updated Dec 22nd, 2010 - about 14 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 1356387468 NPPES
Ohio MEDICAID 0967584

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