Mogan, Anthony Michael
Mogan, Anthony Michael is an sole proprietor health care provider with primary practice located at 14574 Us Highway 23 , Waverly OH 45690-9373. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Mogan, Anthony Michael can be contacted via phone (740) 912-9126.Contact Information
Primary practice address
14574 Us Highway 23
Waverly OH 45690-9373
Phone: (740) 912-9126
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1760995500 |
|---|---|
| LBN Legal business name | Mogan, Anthony Michael |
| Credentials | CDCA,QMHS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 15th, 2017 |
| Last updated | Nov 15th, 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 | 1760995500 | NPPES |
| Ohio | MEDICAID | 101YA0400X |
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