Qualley, Michael D
Qualley, Michael D is an individual health care provider with primary practice located at 4747-8 Nesconset Hwy , Port Jefferson Station NY 11776-2878. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Qualley, Michael D can be contacted via phone (631) 331-6455.Contact Information
Primary practice address
4747-8 Nesconset Hwy
Port Jefferson Station NY 11776-2878
Phone: (631) 331-6455
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 001010 | New York |
Profile Details
| NPI number | 1760505085 |
|---|---|
| LBN Legal business name | Qualley, Michael D |
| Credentials | AUD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 10th, 2007 |
| Last updated | Jun 11th, 2015 - 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.
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