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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063496453 | NPPES |
| Florida | Other | Z1577 | BLUE CROSS BLUE SHIELD |
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