Daigle, George Mark

Daigle, George Mark is an individual health care provider with primary practice located at 215 E Main St #201, Northville MI 48167-1681. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Daigle, George Mark can be contacted via phone (248) 348-1100.

Contact Information

Primary practice address
215 E Main St #201 Northville MI 48167-1681
Phone: (248) 348-1100
Fax: (248) 348-3410
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6301003306 Michigan

Profile Details

NPI number 1437357613
LBN Legal business name Daigle, George Mark
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2007
Last updated Jul 10th, 2007 - about 19 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 1437357613 NPPES
Michigan Other 143449 VALUE OPTIONS

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