Ross, Michael

Ross, Michael is an individual health care provider with primary practice located at 323 Marion Pike Ste 3 , Coal Grove OH 45638. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Ross, Michael can be contacted via phone (740) 646-6640.

Contact Information

Primary practice address
323 Marion Pike Ste 3 Coal Grove OH 45638
Phone: (740) 646-6640
Fax: (866) 475-7263
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CDCA.163430 Ohio

Profile Details

NPI number 1538672340
LBN Legal business name Ross, Michael
Credentials CDCA
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2017
Last updated Nov 6th, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1538672340 NPPES
Ohio MEDICAID 0259192

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