Heavenrich, Richard Michael

Heavenrich, Richard Michael is an sole proprietor health care provider with primary practice located at 628 N Main St , Royal Oak MI 48067-1834. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Heavenrich, Richard Michael can be contacted via phone (248) 544-9330.

Contact Information

Primary practice address
628 N Main St Royal Oak MI 48067-1834
Phone: (248) 544-9330
Fax: (248) 544-9330
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 6301002375 Michigan

Profile Details

NPI number 1205993490
LBN Legal business name Heavenrich, Richard Michael
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 3rd, 2007
Last updated Jul 8th, 2007 - about 17 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 1205993490 NPPES
Michigan Other 11278327 CAQH ID NUMBER

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