Storck, Michael Guy

Storck, Michael Guy is an individual health care provider with primary practice located at 8805 Steilacoom Blvd Sw , Lakewood WA 98498-4770. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Storck, Michael Guy can be contacted via phone (253) 756-2397.

Contact Information

Primary practice address
8805 Steilacoom Blvd Sw Lakewood WA 98498-4770
Fax: (253) 756-3911
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X MD00026376 Washington

Profile Details

NPI number 1699759662
LBN Legal business name Storck, Michael Guy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2005
Last updated Oct 16th, 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 1699759662 NPPES
Washington MEDICAID 8134314

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