Firebaugh, Louise

Firebaugh, Louise is an individual health care provider with primary practice located at 902 W Front St , Traverse City MI 49684-2328. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Firebaugh, Louise can be contacted via phone (231) 941-0943.

Contact Information

Primary practice address
902 W Front St Traverse City MI 49684-2328
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801064240 Michigan

Profile Details

NPI number 1902950157
LBN Legal business name Firebaugh, Louise
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated Jan 30th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902950157 NPPES
Michigan Other 0960057 BLUE CROSS BLUE SHIELD

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