Close, Michael L

Close, Michael L is an sole proprietor health care provider with primary practice located at 1042 N Fairfax Ave , West Hollywood CA 90046-6103. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Close, Michael L can be contacted via phone (323) 656-4194.

Contact Information

Primary practice address
1042 N Fairfax Ave West Hollywood CA 90046-6103
Fax: (323) 656-4151
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X DC26616 California

Profile Details

NPI number 1821086612
LBN Legal business name Close, Michael L
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 6th, 2005
Last updated Jul 18th, 2012 - about 12 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 1821086612 NPPES
Other 7530163 AETNA
Other DC0266160 AETNA

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