Bricker, Michael

Bricker, Michael is an individual health care provider with primary practice located at 2545 N Eldorado Ave , Klamath Falls OR 97601-6423. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Bricker, Michael can be contacted via phone (541) 883-3471.

Contact Information

Primary practice address
2545 N Eldorado Ave Klamath Falls OR 97601-6423
Phone: (541) 883-3471
Fax: (541) 883-3524
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X AK300 Alaska

Profile Details

NPI number 1891983607
LBN Legal business name Bricker, Michael
Credentials MS, BS, CADC II
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2007
Last updated Dec 19th, 2011 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1891983607 NPPES
Oregon MEDICAID 090450

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