Michaud, Brent William
Michaud, Brent William is an individual health care provider with primary practice located at 1616 S. Gold St. #4 , Centralia WA 98531-0001. 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. Michaud, Brent William can be contacted via phone (360) 807-4929.Contact Information
Primary practice address
1616 S. Gold St. #4
Centralia WA 98531-0001
Phone: (360) 807-4929
Fax: (360) 807-4160
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CP60944835 | Washington |
Profile Details
| NPI number | 1598286791 |
|---|---|
| LBN Legal business name | Michaud, Brent William |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2017 |
| Last updated | Oct 30th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598286791 | NPPES |
| Washington | MEDICAID | 2130057 |
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