Bumanglag, Michael A
Bumanglag, Michael A is an individual health care provider with primary practice located at 9165 W Thunderbird Rd Suite 200, Peoria AZ 85381-4847. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Bumanglag, Michael A can be contacted via phone (623) 876-3870.Contact Information
Primary practice address
9165 W Thunderbird Rd Suite 200
Peoria AZ 85381-4847
Phone: (623) 876-3870
Fax: (623) 815-0087
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 3446 | Arizona |
Profile Details
| NPI number | 1245268820 |
|---|---|
| LBN Legal business name | Bumanglag, Michael A |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2006 |
| Last updated | Dec 3rd, 2009 - about 16 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 | 1245268820 | NPPES |
| Arizona | Other | 3446 | STATE LICENSE |
| Arizona | MEDICAID | 164595 | STATE LICENSE |
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