Blair, Michele M

Blair, Michele M is an individual health care provider with primary practice located at 11970 Prince Charles Ct , Cape Coral FL 33991-7507. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Blair, Michele M can be contacted via phone (239) 462-8948.

Contact Information

Primary practice address
11970 Prince Charles Ct Cape Coral FL 33991-7507
Phone: (239) 462-8948
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X OS9069 Florida

Profile Details

NPI number 1639126931
LBN Legal business name Blair, Michele M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated Jan 27th, 2015 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1639126931 NPPES
Florida Other OS9069 FLORIDA LICENSE
Florida Other 16149 FLORIDA LICENSE
Florida MEDICAID 273116900 FLORIDA LICENSE

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