Eden, Michelle M
Eden, Michelle M is an individual health care provider with primary practice located at 4033 Talbot Rd. S. Ste #530, Renton WA 98055. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Eden, Michelle M can be contacted via phone (425) 228-6076.Contact Information
Primary practice address
4033 Talbot Rd. S. Ste #530
Renton WA 98055
Phone: (425) 228-6076
Fax: (425) 226-5224
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD00036227 | Washington |
Profile Details
| NPI number | 1235108960 |
|---|---|
| LBN Legal business name | Eden, Michelle M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 15th, 2006 |
| Last updated | May 18th, 2021 - about 3 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 | 1235108960 | NPPES |
| Washington | MEDICAID | 1121557 |
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