Johndro, Michael William

Johndro, Michael William is an individual health care provider with primary practice located at 634 S Bailey St Suite 207, Palmer AK 99645-6330. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Johndro, Michael William can be contacted via phone (907) 745-7080.

Contact Information

Primary practice address
634 S Bailey St Suite 207 Palmer AK 99645-6330
Phone: (907) 745-7080
Fax: (907) 745-6263
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 86 Alaska

Profile Details

NPI number 1891842472
LBN Legal business name Johndro, Michael William
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2007
Last updated Sep 6th, 2012 - about 13 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 1891842472 NPPES
Alaska Other 561028000 MAGELLAN
Alaska Other 2383280 MAGELLAN
Alaska Other 421545189 MAGELLAN
Alaska MEDICAID MH9931 MAGELLAN
Alaska Other 561028000 MAGELLAN
Alaska Other 45-5503677 MAGELLAN

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