Granoff, Michael

Granoff, Michael is an individual health care provider with primary practice located at 4200 Somerset Dr Ste 254, Prairie Village KS 66208-5213. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Granoff, Michael can be contacted via phone (913) 677-2277.

Contact Information

Primary practice address
4200 Somerset Dr Ste 254 Prairie Village KS 66208-5213
Phone: (913) 677-2277
Fax: (913) 491-8448
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1241 Kansas
Behavioral Health & Social Service Providers / Clinical 1041C0700X 006065 Missouri

Profile Details

NPI number 1992865307
LBN Legal business name Granoff, Michael
Credentials LSCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2006
Last updated Oct 12th, 2016 - 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 1992865307 NPPES
Kansas MEDICAID 200400620A
Kansas Other 29164021

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