Middagh, Sue Ellen
Middagh, Sue Ellen is an individual health care provider with primary practice located at 13395 N Marana Main St Bldg B, Marana AZ 85653-7008. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Middagh, Sue Ellen can be contacted via phone (520) 682-1091.Contact Information
Primary practice address
13395 N Marana Main St Bldg B
Marana AZ 85653-7008
Phone: (520) 682-1091
Fax: (520) 682-4132
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCSW-4049 | Arizona |
Profile Details
| NPI number | 1447460480 |
|---|---|
| LBN Legal business name | Middagh, Sue Ellen |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2007 |
| Last updated | Jan 4th, 2017 - about 7 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 | 1447460480 | NPPES |
| Arizona | MEDICAID | 642133 |
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