Bissell, Michael G
Bissell, Michael G is an individual health care provider with primary practice located at 3680 Westgate Center Circle , Winston Salem NC 27103-2935. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Prosthetics Case Management, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist is his primary health care specialty. Bissell, Michael G can be contacted via phone (336) 768-1933.Contact Information
Primary practice address
3680 Westgate Center Circle
Winston Salem NC 27103-2935
Phone: (336) 768-1933
Fax: (336) 768-4869
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Prosthetics Case Management | 1744P3200X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist | 222Z00000X | CP001225 | North Carolina |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist | 224P00000X | CP001225 | North Carolina |
Profile Details
| NPI number | 1639167620 |
|---|---|
| LBN Legal business name | Bissell, Michael G |
| Credentials | CPO, FAAOP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2005 |
| Last updated | Aug 26th, 2010 - about 14 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 | 1639167620 | NPPES |
| North Carolina | Other | 4496224 | PROVIDER # NON HMO AETNA |
| North Carolina | MEDICAID | 7795063 | PROVIDER # NON HMO AETNA |
| North Carolina | Other | 0487N | PROVIDER # NON HMO AETNA |
| North Carolina | Other | 2021053 | PROVIDER # NON HMO AETNA |
| North Carolina | MEDICAID | 7703164 | PROVIDER # NON HMO AETNA |
| North Carolina | MEDICAID | 9110925 | PROVIDER # NON HMO AETNA |
| North Carolina | Other | A9348 | PROVIDER # NON HMO AETNA |
| North Carolina | Other | 32953 | PROVIDER # NON HMO AETNA |
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