Kimball, Michael
Kimball, Michael is an sole proprietor health care provider with primary practice located at 6635 W Central Ave , Toledo OH 43617-1029. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Kimball, Michael can be contacted via phone (734) 693-0554.Contact Information
Primary practice address
6635 W Central Ave
Toledo OH 43617-1029
Phone: (734) 693-0554
Fax: (419) 517-1349
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 6301014600 | Michigan |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 07781 | Ohio |
Profile Details
| NPI number | 1316375595 |
|---|---|
| LBN Legal business name | Kimball, Michael |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 24th, 2013 |
| Last updated | Nov 15th, 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 | 1316375595 | NPPES |
| Ohio | MEDICAID | 0294590 |
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