Machose, Michael P
Machose, Michael P is an sole proprietor health care provider with primary practice located at 10926 S Tryon St Ste E , Charlotte NC 28273-4154. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Machose, Michael P can be contacted via phone (704) 931-8870.Contact Information
Primary practice address
10926 S Tryon St Ste E
Charlotte NC 28273-4154
Phone: (704) 931-8870
Fax: (866) 313-7602
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | ||
Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | 4297 | North Carolina |
Behavioral Health & Social Service Providers / School | 103TS0200X | ||
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 4297 | North Carolina |
Profile Details
NPI number | 1992074934 |
---|---|
LBN Legal business name | Machose, Michael P |
Credentials | BCBA, LPA |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 20th, 2011 |
Last updated | Dec 14th, 2020 - about 5 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 | 1992074934 | NPPES |
North Carolina | Other | 1487904041 | NPPES |
North Carolina | MEDICAID | 6107742 | NPPES |
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