Owen, Michael
Owen, Michael is an individual health care provider with primary practice located at 1622 Chestnut St , West Bend WI 53095-3014. He 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 / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Owen, Michael can be contacted via phone (262) 338-9498.Contact Information
Primary practice address
1622 Chestnut St
West Bend WI 53095-3014
Phone: (262) 338-9498
Fax: (262) 338-9506
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 15918-130 | Wisconsin |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 4842 | Wisconsin |
Profile Details
NPI number | 1669701561 |
---|---|
LBN Legal business name | Owen, Michael |
Credentials | SAC-IT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 24th, 2009 |
Last updated | Oct 2nd, 2018 - about 6 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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