Thull, Michael

Thull, Michael is an sole proprietor health care provider with primary practice located at 2638 Willard Dairy Rd Ste 102 , High Point NC 27265-8236. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Thull, Michael can be contacted via phone (336) 354-7980.

Contact Information

Primary practice address
2638 Willard Dairy Rd Ste 102 High Point NC 27265-8236
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCAS25821 North Carolina
Behavioral Health & Social Service Providers / Clinical 1041C0700X C006152 North Carolina

Profile Details

NPI number 1285885822
LBN Legal business name Thull, Michael
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 1st, 2008
Last updated Feb 21st, 2024 - about 9 months 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 1285885822 NPPES
North Carolina MEDICAID 6007217

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