Bacharach, J Michael

Bacharach, J Michael is an individual health care provider with primary practice located at 4520 W 69Th St , Sioux Falls SD 57108-8148. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Bacharach, J Michael can be contacted via phone (605) 977-5000.

Contact Information

Primary practice address
4520 W 69Th St Sioux Falls SD 57108-8148
Fax: (605) 977-5377
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 3990 South Dakota
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 3990 South Dakota

Profile Details

NPI number 1972566172
LBN Legal business name Bacharach, J Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Apr 27th, 2020 - about 4 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 1972566172 NPPES
South Dakota MEDICAID 6002910
South Dakota Other 0004040
South Dakota Other 56195
South Dakota MEDICAID 0970046
South Dakota Other 931451029029
South Dakota Other 35693
South Dakota Other 3990
South Dakota Other 165023
South Dakota Other 03A41BA
South Dakota Other 497L1BA
South Dakota MEDICAID 575892100

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