Harris, Michael J
Harris, Michael J is an sole proprietor health care provider with primary practice located at 211 S Woodruff Ave A4, Idaho Falls ID 83401-4369. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Harris, Michael J can be contacted via phone (208) 529-5548.Contact Information
Primary practice address
211 S Woodruff Ave A4
Idaho Falls ID 83401-4369
Phone: (208) 529-5548
Fax: (208) 529-5588
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCSW-420 | Idaho |
Profile Details
NPI number | 1437208931 |
---|---|
LBN Legal business name | Harris, Michael J |
Credentials | MSW, PH.D |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 10th, 2007 |
Last updated | Oct 7th, 2010 - 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.
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