Stutts, Michael L

Stutts, Michael L is an individual health care provider with primary practice located at 825 Fairfax Ave Ste 710 , Norfolk VA 23507-1914. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Stutts, Michael L can be contacted via phone (757) 446-5888.

Contact Information

Primary practice address
825 Fairfax Ave Ste 710 Norfolk VA 23507-1914
Phone: (757) 446-5888
Fax: (757) 446-5918
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 08010001340 Virginia

Profile Details

NPI number 1003883406
LBN Legal business name Stutts, Michael L
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2006
Last updated Dec 29th, 2017 - about 7 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 1003883406 NPPES
Virginia Other 000496 VALUE OPTIONS
Virginia Other PAR VALUE OPTIONS
Virginia Other PAR VALUE OPTIONS
Virginia MEDICAID 007700245 VALUE OPTIONS
Virginia Other 0367K VALUE OPTIONS
Virginia Other PAR VALUE OPTIONS
Virginia Other 255618 VALUE OPTIONS
Virginia Other 343838 VALUE OPTIONS
Virginia Other PAR VALUE OPTIONS
Virginia Other PAR VALUE OPTIONS
Virginia Other 215684 VALUE OPTIONS
Virginia Other -006 VALUE OPTIONS
Virginia Other 081903 VALUE OPTIONS
Virginia Other 88854 VALUE OPTIONS
Virginia Other PAR VALUE OPTIONS
Virginia Other PAR VALUE OPTIONS

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