Heavenrich, Richard Michael
Heavenrich, Richard Michael is an sole proprietor health care provider with primary practice located at 628 N Main St , Royal Oak MI 48067-1834. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Heavenrich, Richard Michael can be contacted via phone (248) 544-9330.Contact Information
Primary practice address
628 N Main St
Royal Oak MI 48067-1834
Phone: (248) 544-9330
Fax: (248) 544-9330
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 6301002375 | Michigan |
Profile Details
| NPI number | 1205993490 |
|---|---|
| LBN Legal business name | Heavenrich, Richard Michael |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 3rd, 2007 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205993490 | NPPES |
| Michigan | Other | 11278327 | CAQH ID NUMBER |
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