Haller, Thomas Bruce
Haller, Thomas Bruce is an sole proprietor health care provider with primary practice located at 3070 Kabobel Dr , Saginaw MI 48604. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Haller, Thomas Bruce can be contacted via phone (989) 791-4191.Contact Information
Primary practice address
3070 Kabobel Dr
Saginaw MI 48604
Phone: (989) 791-4191
Fax: (989) 791-4191
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 6801065092 | Michigan |
Profile Details
| NPI number | 1649236274 |
|---|---|
| LBN Legal business name | Haller, Thomas Bruce |
| Credentials | LMSW, ACSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 22nd, 2006 |
| Last updated | Mar 9th, 2011 - about 14 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 | 1649236274 | NPPES |
| Michigan | Other | 8008949790 | BLUE CROSS |
| Michigan | Other | 112622 | BLUE CROSS |
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