Eller, Micheal A
Eller, Micheal A is an sole proprietor health care provider with primary practice located at 1386 Broad Valley Ct , Burleson TX 76028-6502. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Eller, Micheal A can be contacted via phone (817) 447-3838.Contact Information
Primary practice address
1386 Broad Valley Ct
Burleson TX 76028-6502
Phone: (817) 447-3838
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | SA0012 | Texas |
Profile Details
| NPI number | 1568515617 |
|---|---|
| LBN Legal business name | Eller, Micheal A |
| Credentials | CST, CFA,LSA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 20th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1568515617 | NPPES |
| Texas | Other | 0070JR | BCBS OF TEXAS PROVIDER ID |
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