Licht, Michael Paul

Licht, Michael Paul is an individual health care provider with primary practice located at 4309 3Rd Ave , San Diego CA 92103-1407. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent, Nursing Service Providers / Psychiatric/Mental Health. Nursing Service Providers / Psychiatric/Mental Health is his primary health care specialty. Licht, Michael Paul can be contacted via phone (619) 876-4502.

Contact Information

Primary practice address
4309 3Rd Ave San Diego CA 92103-1407
Phone: (619) 876-4502
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent 163WP0807X 95114434 California
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 95114434 California

Profile Details

NPI number 1437654217
LBN Legal business name Licht, Michael Paul
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2018
Last updated Mar 26th, 2018 - about 6 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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