Husseini, Mike

Husseini, Mike is an individual health care provider with primary practice located at 628 Montezuma St , Rio Vista CA 94571-1622. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Husseini, Mike can be contacted via phone (707) 374-5243.

Contact Information

Primary practice address
628 Montezuma St Rio Vista CA 94571-1622
Phone: (707) 374-5243
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1407394190
LBN Legal business name Husseini, Mike
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2017
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 1407394190 NPPES
Other 1295880821 COMMUNITY/BEHAVIORAL HEALTH

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