Micklas, Colleen Mary
Micklas, Colleen Mary is an individual health care provider with primary practice located at 130 Hampton Cir Suite 100, Rochester Hills MI 48307-4195. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Micklas, Colleen Mary can be contacted via phone (248) 853-0750.Contact Information
Primary practice address
130 Hampton Cir Suite 100
Rochester Hills MI 48307-4195
Phone: (248) 853-0750
Fax: (248) 853-0792
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 101YS0200X |
Profile Details
| NPI number | 1336398445 |
|---|---|
| LBN Legal business name | Micklas, Colleen Mary |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2008 |
| Last updated | Sep 12th, 2008 - about 16 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 | 1336398445 | NPPES |
| Michigan | MEDICAID | 1883825 |
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