Shock, Michael
Shock, Michael is an individual health care provider with primary practice located at 200 Highway 2 W , Devils Lake ND 58301-3532. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Shock, Michael can be contacted via phone (701) 665-2200.Contact Information
Primary practice address
200 Highway 2 W
Devils Lake ND 58301-3532
Phone: (701) 665-2200
Fax: (701) 665-2300
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 4694 | North Dakota |
Profile Details
| NPI number | 1659404556 |
|---|---|
| LBN Legal business name | Shock, Michael |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 13th, 2007 |
| Last updated | Oct 27th, 2017 - about 9 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 | 1659404556 | NPPES |
| North Dakota | MEDICAID | 1456526 |
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