Vurek, Michael Wylie

Vurek, Michael Wylie is an sole proprietor health care provider with primary practice located at 300 Tamal Plz Ste 220, Corte Madera CA 94925-1136. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Vurek, Michael Wylie can be contacted via phone (415) 451-7455.

Contact Information

Primary practice address
300 Tamal Plz Ste 220 Corte Madera CA 94925-1136
Fax: (855) 874-5397
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS12882 California

Profile Details

NPI number 1235196171
LBN Legal business name Vurek, Michael Wylie
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 26th, 2006
Last updated Mar 15th, 2019 - about 5 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 1235196171 NPPES
California MEDICAID CSW128820

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