Quirk, Michael Paul
Quirk, Michael Paul is an individual health care provider with primary practice located at 1049 Cross Gate Rd , Winston Salem NC 27106-6324. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Quirk, Michael Paul can be contacted via phone (336) 408-4851.Contact Information
Primary practice address
1049 Cross Gate Rd
Winston Salem NC 27106-6324
Phone: (336) 408-4851
Fax: (336) 408-4851
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 2134 | North Carolina |
Profile Details
| NPI number | 1114919586 |
|---|---|
| LBN Legal business name | Quirk, Michael Paul |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2005 |
| Last updated | Dec 4th, 2008 - about 17 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 | 1114919586 | NPPES |
| North Carolina | Other | 046PE | BCBS NC |
| North Carolina | Other | 477021 | BCBS NC |
| North Carolina | MEDICAID | 6000641 | BCBS NC |
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