Slack, Michael Byron
Slack, Michael Byron is an sole proprietor health care provider with primary practice located at 101 Bodin Cir David Grant Medical Center, Travis Afb CA 94535-1809. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Slack, Michael Byron can be contacted via phone (707) 423-3811.Contact Information
Primary practice address
101 Bodin Cir David Grant Medical Center
Travis Afb CA 94535-1809
Phone: (707) 423-3811
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LSCSW1952 | Kansas |
Profile Details
| NPI number | 1104939222 |
|---|---|
| LBN Legal business name | Slack, Michael Byron |
| Credentials | PH.D |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 15th, 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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