Barajas, Michael
Barajas, Michael is an individual health care provider with primary practice located at 6812 State Route 162 Suite 120, Maryville IL 62062-8553. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Barajas, Michael can be contacted via phone (618) 288-0044.Contact Information
Primary practice address
6812 State Route 162 Suite 120
Maryville IL 62062-8553
Phone: (618) 288-0044
Fax: (618) 288-0066
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 085.006179 | Illinois |
Profile Details
| NPI number | 1114454733 |
|---|---|
| LBN Legal business name | Barajas, Michael |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2017 |
| Last updated | May 12th, 2017 - about 7 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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