Weisenburgh, Michael

Weisenburgh, Michael is an individual health care provider with primary practice located at 2545 N Eldorado Ave , Klamath Falls OR 97601-6423. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Weisenburgh, Michael can be contacted via phone (541) 883-3471.

Contact Information

Primary practice address
2545 N Eldorado Ave Klamath Falls OR 97601-6423
Phone: (541) 883-3471
Fax: (541) 883-3524
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1295076982
LBN Legal business name Weisenburgh, Michael
Credentials CADC I
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2013
Last updated Mar 6th, 2013 - about 13 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 1295076982 NPPES
Oregon MEDICAID 1114058898

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