Cosgrove, Michele M

Cosgrove, Michele M is an individual health care provider with primary practice located at 1509 Wilson Ter , Glendale CA 91206-4007. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Cosgrove, Michele M can be contacted via phone (818) 409-8000.

Contact Information

Primary practice address
1509 Wilson Ter Glendale CA 91206-4007
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X G53840 California

Profile Details

NPI number 1295729937
LBN Legal business name Cosgrove, Michele M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2005
Last updated Oct 23rd, 2015 - about 9 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 1295729937 NPPES
California MEDICAID 00G538400

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