Wall, Michael Wayne
Wall, Michael Wayne is an sole proprietor health care provider with primary practice located at 784 W Lebanon St , Mount Airy NC 27030-2218. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Wall, Michael Wayne can be contacted via phone (336) 293-3603.Contact Information
Primary practice address
784 W Lebanon St
Mount Airy NC 27030-2218
Phone: (336) 293-3603
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 3233 | North Carolina |
Profile Details
| NPI number | 1669799805 |
|---|---|
| LBN Legal business name | Wall, Michael Wayne |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 28th, 2010 |
| Last updated | Apr 28th, 2010 - about 15 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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