Sam, James Michael

Sam, James Michael is an sole proprietor health care provider with primary practice located at 1209 Richardson St , Port Huron MI 48060-3548. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Sam, James Michael can be contacted via phone (810) 984-5156.

Contact Information

Primary practice address
1209 Richardson St Port Huron MI 48060-3548
Phone: (810) 984-5156
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 6401000060 Michigan
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6301009063 Michigan
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801032915 Michigan

Profile Details

NPI number 1306919717
LBN Legal business name Sam, James Michael
Credentials PHD. LMSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 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.

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