Draelos, Michael T.

Draelos, Michael T. is an individual health care provider with primary practice located at 624 Quaker Ln Suite 105C, High Point NC 27262-3832. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Draelos, Michael T. can be contacted via phone (336) 802-2105.

Contact Information

Primary practice address
624 Quaker Ln Suite 105C High Point NC 27262-3832
Phone: (336) 802-2105
Fax: (336) 802-2106
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 31272 North Carolina
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 31272 North Carolina

Profile Details

NPI number 1104842665
LBN Legal business name Draelos, Michael T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2006
Last updated Jun 23rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104842665 NPPES
North Carolina Other 100008458 RAILROAD MEDICARE
North Carolina MEDICAID 8929143 RAILROAD MEDICARE

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