Nacy, Martha Bridget
Nacy, Martha Bridget is an individual health care provider with primary practice located at 5841 Whitmore Lake Rd , Brighton MI 48116. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Nacy, Martha Bridget can be contacted via phone (810) 227-6218.Contact Information
Primary practice address
5841 Whitmore Lake Rd
Brighton MI 48116
Phone: (810) 227-6218
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 103TA0400X | C-02456 | Michigan |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 6301005605 | Michigan |
Profile Details
NPI number | 1548566029 |
---|---|
LBN Legal business name | Nacy, Martha Bridget |
Credentials | LLP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 1st, 2011 |
Last updated | Sep 11th, 2019 - about 5 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 | 1548566029 | NPPES |
Other | 13854015 | CAQH | |
Other | 6301005605 | CAQH |
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