Bacallao, Michael Anthony
Bacallao, Michael Anthony is an sole proprietor health care provider with primary practice located at 382 N Mckelvy Ave Apt 202 , Clovis CA 93611-2410. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Bacallao, Michael Anthony can be contacted via phone (732) 425-5851.Contact Information
Primary practice address
382 N Mckelvy Ave Apt 202
Clovis CA 93611-2410
Phone: (732) 425-5851
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 44SC06183100 | New Jersey |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 115700 | California |
Profile Details
| NPI number | 1922516889 |
|---|---|
| LBN Legal business name | Bacallao, Michael Anthony |
| Credentials | LMSW, LCSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 12th, 2018 |
| Last updated | Jul 6th, 2023 - about 3 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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