Enrico, Michael R

Enrico, Michael R is an individual health care provider with primary practice located at 1230 E Main St , Mankato MN 56001-5066. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Enrico, Michael R can be contacted via phone (507) 625-1811.

Contact Information

Primary practice address
1230 E Main St Mankato MN 56001-5066
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X A109050 California
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 61281 Minnesota

Profile Details

NPI number 1912960006
LBN Legal business name Enrico, Michael R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Dec 14th, 2020 - about 4 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 1912960006 NPPES
California Other CB218512 MEDICARE ID

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