Percell, Michael Douglas
Percell, Michael Douglas is an sole proprietor health care provider with primary practice located at 3017 Clover Ave , Portsmouth OH 45662-8864. 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. Percell, Michael Douglas can be contacted via phone (740) 529-1930.Contact Information
Primary practice address
3017 Clover Ave
Portsmouth OH 45662-8864
Phone: (740) 529-1930
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ICDC 091068-CS | Ohio |
Profile Details
| NPI number | 1427412402 |
|---|---|
| LBN Legal business name | Percell, Michael Douglas |
| Credentials | LICDC-CS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 6th, 2016 |
| Last updated | Nov 8th, 2022 - about 2 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 | 1427412402 | NPPES |
| Ohio | MEDICAID | 0211697 |
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