Emerson, Michael Vaughn

Emerson, Michael Vaughn is an individual health care provider with primary practice located at 710 E 24Th St Ste 304 , Minneapolis MN 55404-3846. He recently has only one registered license in Allopathic & Osteopathic Physicians / Retina Specialist, which is considered as his primary health care specialty. Emerson, Michael Vaughn can be contacted via phone (612) 871-2292.

Contact Information

Primary practice address
710 E 24Th St Ste 304 Minneapolis MN 55404-3846
Phone: (612) 871-2292
Fax: (952) 460-5274
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 50633 Minnesota

Profile Details

NPI number 1649222902
LBN Legal business name Emerson, Michael Vaughn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Sep 29th, 2020 - about 5 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 1649222902 NPPES
Oregon MEDICAID 213372

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