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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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