Meehan, Michael John

Meehan, Michael John is an individual health care provider with primary practice located at 9 Saint Johns Medical Pk Dr , St Augustine FL 32086-5343. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Meehan, Michael John can be contacted via phone (904) 797-2705.

Contact Information

Primary practice address
9 Saint Johns Medical Pk Dr St Augustine FL 32086-5343
Phone: (904) 797-2705
Fax: (904) 797-2820
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW1047 Florida

Profile Details

NPI number 1063496453
LBN Legal business name Meehan, Michael John
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
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 1063496453 NPPES
Florida Other Z1577 BLUE CROSS BLUE SHIELD

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