Fealy, Mike P

Fealy, Mike P is an sole proprietor health care provider with primary practice located at 6412 Laurel Ave Mountain Mesa, Lake Isabella CA 93240-9529. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Fealy, Mike P can be contacted via phone (760) 379-2681.

Contact Information

Primary practice address
6412 Laurel Ave Mountain Mesa Lake Isabella CA 93240-9529
Phone: (760) 379-2681
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X G63961 California

Profile Details

NPI number 1457308868
LBN Legal business name Fealy, Mike P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 30th, 2006
Last updated Jun 9th, 2011 - about 13 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 1457308868 NPPES
California MEDICAID 00G639610

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