Lace, Michael Albin
Lace, Michael Albin is an sole proprietor health care provider with primary practice located at 2141 Altoona Ave , Eau Claire WI 54701. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Lace, Michael Albin can be contacted via phone (715) 552-7350.Contact Information
Primary practice address
2141 Altoona Ave
Eau Claire WI 54701
Phone: (715) 552-7350
Fax: (715) 878-9075
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 33333 | Wisconsin |
Profile Details
| NPI number | 1023133022 |
|---|---|
| LBN Legal business name | Lace, Michael Albin |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 20th, 2007 |
| Last updated | Sep 16th, 2016 - about 8 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 | 1023133022 | NPPES |
| Wisconsin | MEDICAID | 39365600 |
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