Isava, Duane Michael
Isava, Duane Michael is an sole proprietor health care provider with primary practice located at 8229 Cloverleaf Dr Suite 425, Millersville MD 21108-1538. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as his primary health care specialty. Isava, Duane Michael can be contacted via phone (541) 554-9777.Contact Information
Primary practice address
8229 Cloverleaf Dr Suite 425
Millersville MD 21108-1538
Phone: (541) 554-9777
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 06544 | Maryland |
Profile Details
| NPI number | 1699948059 |
|---|---|
| LBN Legal business name | Isava, Duane Michael |
| Credentials | PH.D, NCSP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 8th, 2008 |
| Last updated | Nov 18th, 2020 - about 5 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 | 1699948059 | NPPES |
| Maryland | MEDICAID | 5737 |
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