Gillooly, Michael H
Gillooly, Michael H is an sole proprietor health care provider with primary practice located at 1538 Chapman Rd , Crofton MD 21114-3100. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Gillooly, Michael H can be contacted via phone (301) 261-3574.Contact Information
Primary practice address
1538 Chapman Rd
Crofton MD 21114-3100
Phone: (301) 261-3574
Fax: (410) 721-3436
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 05028 | Maryland |
Profile Details
| NPI number | 1336297472 |
|---|---|
| LBN Legal business name | Gillooly, Michael H |
| Credentials | LCSW-C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 8th, 2007 |
| Last updated | Jul 13th, 2014 - about 11 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 | 1336297472 | NPPES |
| Maryland | Other | 076639 | VALUE OPTIONS |
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