Dodge, Michael

Dodge, Michael is an individual health care provider with primary practice located at 901 W 3Rd St , Flora IL 62839-1287. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Dodge, Michael can be contacted via phone (618) 662-2871.

Contact Information

Primary practice address
901 W 3Rd St Flora IL 62839-1287
Phone: (618) 662-2871
Fax: (618) 662-4748
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1548512650
LBN Legal business name Dodge, Michael
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2012
Last updated Oct 12th, 2012 - about 14 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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