Fossum, Michael
Fossum, Michael is an individual health care provider with primary practice located at 1830 S Alma School Rd Ste 116 , Mesa AZ 85210-3086. He recently has only one registered license in Chiropractic Providers / Rehabilitation, which is considered as his primary health care specialty. Fossum, Michael can be contacted via phone (480) 222-5169.Contact Information
Primary practice address
1830 S Alma School Rd Ste 116
Mesa AZ 85210-3086
Phone: (480) 222-5169
Fax: (480) 222-5163
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Rehabilitation | 111NR0400X | 7027 | Arizona |
Profile Details
| NPI number | 1790991958 |
|---|---|
| LBN Legal business name | Fossum, Michael |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 15th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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