Householder, Michael

Householder, Michael is an individual health care provider with primary practice located at 2010 Al Lipscomb Way , Dallas TX 75215-2773. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Householder, Michael can be contacted via phone (469) 516-4472.

Contact Information

Primary practice address
2010 Al Lipscomb Way Dallas TX 75215-2773
Phone: (469) 516-4472
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 12987 Texas

Profile Details

NPI number 1588213854
LBN Legal business name Householder, Michael
Credentials LCDC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2019
Last updated Sep 9th, 2019 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1588213854 NPPES
Texas MEDICAID 399885801

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