Weyand, Michael Charles
Weyand, Michael Charles is an individual health care provider with primary practice located at 108 Se 124Th Ave , Vancouver WA 98684-6015. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Weyand, Michael Charles can be contacted via phone (360) 891-7421.Contact Information
Primary practice address
108 Se 124Th Ave
Vancouver WA 98684-6015
Phone: (360) 891-7421
Fax: (360) 253-8358
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CP00004960 | Washington |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 03-R-04 | Oregon |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 2-00645 | Michigan |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LW00007884 | Washington |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | L3386 | Oregon |
Profile Details
| NPI number | 1871586222 |
|---|---|
| LBN Legal business name | Weyand, Michael Charles |
| Credentials | MSW, LICSW, LCSW, |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2005 |
| Last updated | Jun 12th, 2013 - about 12 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 | 1871586222 | NPPES |
| Washington | MEDICAID | 1871586222 |
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