Fillipon, Michael Thomas
Fillipon, Michael Thomas is an sole proprietor health care provider with primary practice located at 1442 16Th Ave , San Francisco CA 94122-3510. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Ambulatory Health Care Facilities / Adult Mental Health. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Fillipon, Michael Thomas can be contacted via phone (603) 401-3062.Contact Information
Primary practice address
1442 16Th Ave
San Francisco CA 94122-3510
Phone: (603) 401-3062
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 123358 | Massachusetts |
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X | 223187 | Massachusetts |
Profile Details
| NPI number | 1134767437 |
|---|---|
| LBN Legal business name | Fillipon, Michael Thomas |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 17th, 2019 |
| Last updated | Jun 12th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134767437 | NPPES |
| Massachusetts | Other | 223187 | ASWB |
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