Mcgough, William Michael
Mcgough, William Michael is an sole proprietor health care provider with primary practice located at 3 Episcopal Ave , Honeoye Falls NY 14472-1001. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Mcgough, William Michael can be contacted via phone (585) 624-1350.Contact Information
Primary practice address
3 Episcopal Ave
Honeoye Falls NY 14472-1001
Phone: (585) 624-1350
Fax: (585) 624-9181
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | RO33420 | New York |
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 8239 | New York |
Profile Details
NPI number | 1528047131 |
---|---|
LBN Legal business name | Mcgough, William Michael |
Credentials | LCSW, CASAC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 12th, 2006 |
Last updated | Oct 5th, 2010 - about 14 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 | 1528047131 | NPPES |
New York | MEDICAID | 02308345 | |
New York | Other | 100396FK | |
New York | Other | PO10033420 | |
New York | Other | 5370814 |
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