Hairston, Michael Dean
Hairston, Michael Dean is an individual health care provider with primary practice located at 1178 N Tustin St , Orange CA 92867-6006. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Hairston, Michael Dean can be contacted via phone (714) 289-7790.Contact Information
Primary practice address
1178 N Tustin St
Orange CA 92867-6006
Phone: (714) 289-7790
Fax: (714) 289-7786
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 5111 | California |
Profile Details
| NPI number | 1033243886 |
|---|---|
| LBN Legal business name | Hairston, Michael Dean |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 15th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1033243886 | NPPES |
| California | Other | 1154327922 | TYPE TWO NPI |
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