Michelsen, Gary

Michelsen, Gary is an individual health care provider with primary practice located at 3436 N Kennicott Ave , Arlington Heights IL 60004-7814. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Michelsen, Gary can be contacted via phone (847) 952-7460.

Contact Information

Primary practice address
3436 N Kennicott Ave Arlington Heights IL 60004-7814
Phone: (847) 952-7460
Fax: (847) 222-1754
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 180002991 Illinois
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 180002991 Illinois

Profile Details

NPI number 1700999240
LBN Legal business name Michelsen, Gary
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2006
Last updated Apr 4th, 2016 - about 8 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 1700999240 NPPES
Illinois Other 0081646697 BCBS

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