Griffith, Michael

Griffith, Michael is an individual health care provider with primary practice located at 1095 Midway Rd , Menasha WI 54952-1115. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Griffith, Michael can be contacted via phone (920) 720-2300.

Contact Information

Primary practice address
1095 Midway Rd Menasha WI 54952-1115
Phone: (920) 720-2300
Fax: (920) 720-3719
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 10360 Minnesota
Behavioral Health & Social Service Providers / Clinical 1041C0700X 823-123 Wisconsin

Profile Details

NPI number 1427000991
LBN Legal business name Griffith, Michael
Credentials M.S.S.W., LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Mar 17th, 2018 - about 6 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 1427000991 NPPES
Minnesota Other 95D75GR BLUECROSS/BLUESHIELD ID

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