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
Phone: (605) 977-5000
Fax: (605) 977-5377
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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