Atwell, Michael D

Atwell, Michael D is an individual health care provider with primary practice located at 2598 W White River Blvd , Muncie IN 47303-5251. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Atwell, Michael D can be contacted via phone (765) 702-2817.

Contact Information

Primary practice address
2598 W White River Blvd Muncie IN 47303-5251
Phone: (765) 702-2817
Fax: (317) 222-2198
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN.CNP.13472 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71003877A Indiana

Profile Details

NPI number 1790055648
LBN Legal business name Atwell, Michael D
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2012
Last updated Jul 7th, 2022 - about 2 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 1790055648 NPPES
Other 000000752960 ANTHEM
MEDICAID 0088322 ANTHEM
MEDICAID 201051130 ANTHEM

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