Poole, Michael A

Poole, Michael A is an individual health care provider with primary practice located at 304 E 6Th Ave , Rome GA 30161-6000. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Poole, Michael A can be contacted via phone (706) 378-9044.

Contact Information

Primary practice address
304 E 6Th Ave Rome GA 30161-6000
Phone: (706) 378-9044
Fax: (706) 378-9046
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP005583 Georgia

Profile Details

NPI number 1225189442
LBN Legal business name Poole, Michael A
Credentials M.ED., CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2007
Last updated Jul 9th, 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 1225189442 NPPES
Georgia Other 52128326 BLUE CROSS BLUE SHIELD
Georgia MEDICAID 328036 BLUE CROSS BLUE SHIELD
Georgia MEDICAID 10047126 BLUE CROSS BLUE SHIELD

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