Dean, Michael Alan
Dean, Michael Alan is an sole proprietor health care provider with primary practice located at 1003 Division St Suite 2, Prescott AZ 86301-1657. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Dean, Michael Alan can be contacted via phone (928) 778-7080.Contact Information
Primary practice address
1003 Division St Suite 2
Prescott AZ 86301-1657
Phone: (928) 778-7080
Fax: (928) 771-9548
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 25332 | Arizona |
Profile Details
| NPI number | 1962481788 |
|---|---|
| LBN Legal business name | Dean, Michael Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 11th, 2006 |
| Last updated | Oct 15th, 2007 - about 17 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 | 1962481788 | NPPES |
| Arizona | MEDICAID | 887333 | |
| Arizona | Other | 03 D0976842 |
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