Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL ANTHONY JOSEPH, SUDP
Active Sole ProprietorMICHAEL ANTHONY JOSEPH, SUDP is a Substance Abuse Rehabilitation Facility healthcare provider located in NESPELEM, Washington. NPI 1568605012 is currently active in the NPPES registry. Verify at CMS.
Substance Abuse Rehabilitation Facility · NESPELEM, WA
Registration Details
- NPI Number
- 1568605012
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 14, 2009 (17.328137201779 yrs)
- Last Updated
- Feb 26, 2021
- Licenses
-
6250 (CO)116600 (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
21 COLVILLE ST.NESPELEM, WA, 99155Browse WA providers · Browse ZIP 99155
- Phone
- 5096342586
- Fax
- 5096342607
- Primary Specialty
-
Substance Abuse Rehabilitation Facility
324500000X
- Additional Specialty
- Substance Abuse Rehabilitation Facility
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.