Smith, Michael
Smith, Michael is an individual health care provider with primary practice located at 8202 Excelsior Dr , Madison WI 53717-1906. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Smith, Michael can be contacted via phone (608) 831-1766.Contact Information
Primary practice address
8202 Excelsior Dr
Madison WI 53717-1906
Phone: (608) 831-1766
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 1041S0200X | 956 | Wisconsin |
Profile Details
| NPI number | 1396764759 |
|---|---|
| LBN Legal business name | Smith, Michael |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1396764759 | NPPES |
| Wisconsin | MEDICAID | 39212000 |
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