Bishop, Theral Michael
Bishop, Theral Michael is an individual health care provider with primary practice located at 1400 N 500 E , Logan UT 84341. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Bishop, Theral Michael can be contacted via phone (435) 716-1000.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 1493181205 | Utah |
Profile Details
| NPI number | 1376584300 |
|---|---|
| LBN Legal business name | Bishop, Theral Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1376584300 | NPPES |
| Utah | MEDICAID | 03874 |
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