Bryant, Michael A.

Bryant, Michael A. is an sole proprietor health care provider with primary practice located at 122 Weber St , Baltimore MD 21230-4106. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Bryant, Michael A. can be contacted via phone (410) 752-5525.

Contact Information

Primary practice address
122 Weber St Baltimore MD 21230-4106
Phone: (410) 752-5525
Fax: (410) 752-5531
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 02139 Maryland

Profile Details

NPI number 1124096235
LBN Legal business name Bryant, Michael A.
Credentials L.C.S.W.-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2006
Last updated Aug 17th, 2015 - about 11 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 1124096235 NPPES
Maryland Other 35441602 CAREFIRST MD RENDERING #
Maryland MEDICAID 212150600 CAREFIRST MD RENDERING #
Maryland Other T5140003 CAREFIRST MD RENDERING #

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