Bae, Michelle H

Bae, Michelle H is an individual health care provider with primary practice located at 10211 Alm St , Raleigh NC 27617-8221. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Bae, Michelle H can be contacted via phone (919) 385-1160.

Contact Information

Primary practice address
10211 Alm St Raleigh NC 27617-8221
Fax: (919) 385-1186
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 206995 North Carolina

Profile Details

NPI number 1427181502
LBN Legal business name Bae, Michelle H
Credentials CPNP-PC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2007
Last updated Jun 26th, 2023 - about last year

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 1427181502 NPPES
North Carolina MEDICAID 7004702

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