Short, Michael Carl

Short, Michael Carl is an individual health care provider with primary practice located at 741 N Grand Ave , Waukesha WI 53186-4820. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Short, Michael Carl can be contacted via phone (262) 542-3255.

Contact Information

Primary practice address
741 N Grand Ave Waukesha WI 53186-4820
Phone: (262) 542-3255
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 1698-123 Wisconsin

Profile Details

NPI number 1588766208
LBN Legal business name Short, Michael Carl
Credentials MSW,LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2006
Last updated Jul 8th, 2007 - 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.

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