Ghormley, Michael R
Ghormley, Michael R is an sole proprietor health care provider with primary practice located at 3305 81St St Ste H, Lubbock TX 79423-2042. He recently has only one registered license in Behavioral Health & Social Service Providers / Health Service, which is considered as his primary health care specialty. Ghormley, Michael R can be contacted via phone (806) 748-6400.Contact Information
Primary practice address
3305 81St St Ste H
Lubbock TX 79423-2042
Phone: (806) 748-6400
Fax: (806) 748-6110
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Health Service | 103TH0100X | 31739 | Texas |
Profile Details
| NPI number | 1972536647 |
|---|---|
| LBN Legal business name | Ghormley, Michael R |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 8th, 2006 |
| Last updated | Jun 10th, 2008 - about 16 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 | 1972536647 | NPPES |
| Texas | Other | 86988A | BCBS |
| Texas | MEDICAID | 165423803 | BCBS |
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