Fackler, Michelle Miller

Fackler, Michelle Miller is an sole proprietor health care provider with primary practice located at 1801 Ne 123Rd St Ste 414 , North Miami FL 33181-2884. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Fackler, Michelle Miller can be contacted via phone (305) 981-0600.

Contact Information

Primary practice address
1801 Ne 123Rd St Ste 414 North Miami FL 33181-2884
Phone: (305) 981-0600
Fax: (305) 981-2700
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APRN9262797 Florida

Profile Details

NPI number 1134590805
LBN Legal business name Fackler, Michelle Miller
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 7th, 2015
Last updated Oct 29th, 2018 - about 6 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 1134590805 NPPES
Florida MEDICAID 015843800

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