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
Phone: (336) 354-7980
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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 10 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1285885822 | NPPES |
North Carolina | MEDICAID | 6007217 |
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