Michael, Mark C

Michael, Mark C is an individual health care provider with primary practice located at 309 Federal Ave E Ste A, Seattle WA 98102-5416. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Michael, Mark C can be contacted via phone (206) 324-8285.

Contact Information

Primary practice address
309 Federal Ave E Ste A Seattle WA 98102-5416
Phone: (206) 324-8285
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY00001182 Washington

Profile Details

NPI number 1508864166
LBN Legal business name Michael, Mark C
Credentials PHD, CGP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508864166 NPPES
Washington Other MI-9953 REGENCE BLUE SHIELD

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