Morgan, Mickey J.

Morgan, Mickey J. is an sole proprietor health care provider with primary practice located at 14425 Mason Ln , Orland Park IL 60462-2662. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Morgan, Mickey J. can be contacted via phone (708) 460-5209.

Contact Information

Primary practice address
14425 Mason Ln Orland Park IL 60462-2662
Phone: (708) 460-5209
Fax: (708) 460-6327
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X Illinois

Profile Details

NPI number 1861540361
LBN Legal business name Morgan, Mickey J.
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 8th, 2007
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861540361 NPPES
Illinois Other 1627063 BLUE CROSS BLUE SHIELD ID

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