Flora, Michael Douglas
Flora, Michael Douglas is an individual health care provider with primary practice located at 12 Health Services Dr , Dekalb IL 60115-9637. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Flora, Michael Douglas can be contacted via phone (815) 756-4875.Contact Information
Primary practice address
12 Health Services Dr
Dekalb IL 60115-9637
Phone: (815) 756-4875
Fax: (815) 756-2944
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | E0001970 | Ohio |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | S0006583 | Ohio |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | Illinois |
Profile Details
| NPI number | 1124242763 |
|---|---|
| LBN Legal business name | Flora, Michael Douglas |
| Credentials | LCPC, LPCC, LSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 13th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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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