Gillen, Michael Joseph
Gillen, Michael Joseph is an individual health care provider with primary practice located at 21425 Spring Street Union Grove Va Clinic, Union Grove WI 53182. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Gillen, Michael Joseph can be contacted via phone (262) 878-7020.Contact Information
Primary practice address
21425 Spring Street Union Grove Va Clinic
Union Grove WI 53182
Phone: (262) 878-7020
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 3313-57 | Wisconsin |
Profile Details
| NPI number | 1477925121 |
|---|---|
| LBN Legal business name | Gillen, Michael Joseph |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 21st, 2015 |
| Last updated | Nov 15th, 2023 - about 3 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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