Palk, Mike
Palk, Mike is an sole proprietor health care provider with primary practice located at 377 Short St Suite D, Cookeville TN 38501-7119. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Palk, Mike can be contacted via phone (931) 528-6167.Contact Information
Primary practice address
377 Short St Suite D
Cookeville TN 38501-7119
Phone: (931) 528-6167
Fax: (931) 526-9300
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 0000001444 | Tennessee |
Profile Details
| NPI number | 1083784516 |
|---|---|
| LBN Legal business name | Palk, Mike |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 9th, 2006 |
| 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 | 1083784516 | NPPES |
| Tennessee | Other | 3148479 | TN BLUE CROSS BLUE SHIELD |
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