Luttrell, Michael J

Luttrell, Michael J is an individual health care provider with primary practice located at 9 N 4Th Ave , Marshalltown IA 50158-1836. He recently has only one registered license in Behavioral Health & Social Service Providers / Cognitive & Behavioral, which is considered as his primary health care specialty. Luttrell, Michael J can be contacted via phone (641) 752-1585.

Contact Information

Primary practice address
9 N 4Th Ave Marshalltown IA 50158-1836
Phone: (641) 752-1585
Fax: (641) 752-9665
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 00420 Iowa

Profile Details

NPI number 1396719209
LBN Legal business name Luttrell, Michael J
Credentials LICENSED PSYCHOLOGIS
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396719209 NPPES
Iowa MEDICAID 0058230
Iowa Other 05823
Iowa Other 037093

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