Van Dam, Michael Lee
Van Dam, Michael Lee is an sole proprietor health care provider with primary practice located at 94 E Pages Ln Suite A, Centerville UT 84014-2216. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Van Dam, Michael Lee can be contacted via phone (801) 294-0578.Contact Information
Primary practice address
94 E Pages Ln Suite A
Centerville UT 84014-2216
Phone: (801) 294-0578
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 5199130-3501 | Utah |
Profile Details
| NPI number | 1386729994 |
|---|---|
| LBN Legal business name | Van Dam, Michael Lee |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 25th, 2006 |
| Last updated | Jun 23rd, 2009 - about 16 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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