Kahwaji, Michael Patrick
Kahwaji, Michael Patrick is an individual health care provider with primary practice located at 2502 B East Empire , Bloomington IL 61704. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Kahwaji, Michael Patrick can be contacted via phone (309) 663-7220.Contact Information
Primary practice address
2502 B East Empire
Bloomington IL 61704
Phone: (309) 663-7220
Fax: (309) 664-6687
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | Illinois |
Profile Details
NPI number | 1679509806 |
---|---|
LBN Legal business name | Kahwaji, Michael Patrick |
Credentials | PSYD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 22nd, 2006 |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1679509806 | NPPES |
Illinois | Other | 044404 | HEALTH ALLIANCE |
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