Poore, Michelle A
Poore, Michelle A is an individual health care provider with primary practice located at 8675 Valley Creek Rd , Woodbury MN 55125-2337. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Poore, Michelle A can be contacted via phone (651) 501-3000.Contact Information
Primary practice address
8675 Valley Creek Rd
Woodbury MN 55125-2337
Phone: (651) 501-3000
Fax: (651) 501-3500
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 07772 | Minnesota |
Profile Details
| NPI number | 1598727109 |
|---|---|
| LBN Legal business name | Poore, Michelle A |
| Credentials | LIC SW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 2006 |
| Last updated | Dec 15th, 2016 - about 9 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 | 1598727109 | NPPES |
| Minnesota | MEDICAID | 228057400 |
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