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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699948059 NPPES
Maryland MEDICAID 5737

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