Wall, Michael Patrick

Wall, Michael Patrick is an individual health care provider with primary practice located at 692 Ritchie Hwy Suite 203, Severna Park MD 21146-3919. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Wall, Michael Patrick can be contacted via phone (410) 647-4862.

Contact Information

Primary practice address
692 Ritchie Hwy Suite 203 Severna Park MD 21146-3919
Phone: (410) 647-4862
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSWC07449 Maryland

Profile Details

NPI number 1063552586
LBN Legal business name Wall, Michael Patrick
Credentials LCSWC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2007
Last updated Jul 8th, 2007 - about 18 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 1063552586 NPPES
Maryland Other 1QV10MP2752664001 BCBS MD

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