Fossel, Michael
Fossel, Michael is an sole proprietor health care provider with primary practice located at 9464 Conservation St Ne , Ada MI 49301-9752. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Fossel, Michael can be contacted via phone (616) 676-8779.Contact Information
Primary practice address
9464 Conservation St Ne
Ada MI 49301-9752
Phone: (616) 676-8779
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 4301046371 | Michigan |
Profile Details
| NPI number | 1205822756 |
|---|---|
| LBN Legal business name | Fossel, Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 21st, 2005 |
| Last updated | May 9th, 2012 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205822756 | NPPES |
| Michigan | MEDICAID | 1658868 |
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