Carlos, Michelle L

Carlos, Michelle L is an individual health care provider with primary practice located at 1210 Medical Arts Blvd Ste 114 , Anderson IN 46011-3442. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Carlos, Michelle L can be contacted via phone (765) 298-4545.

Contact Information

Primary practice address
1210 Medical Arts Blvd Ste 114 Anderson IN 46011-3442
Phone: (765) 298-4545
Fax: (765) 298-4945
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71002701A Indiana

Profile Details

NPI number 1962668301
LBN Legal business name Carlos, Michelle L
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2008
Last updated Oct 22nd, 2019 - about 5 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 1962668301 NPPES
Indiana MEDICAID 200985700

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