Ham, Michael Lee

Ham, Michael Lee is an individual health care provider with primary practice located at 2820 N Glassford Hill Rd Ste 101, Prescott Valley AZ 86314-2256. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Ham, Michael Lee can be contacted via phone (928) 775-5606.

Contact Information

Primary practice address
2820 N Glassford Hill Rd Ste 101 Prescott Valley AZ 86314-2256
Fax: (928) 772-4999
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 26357 Arizona

Profile Details

NPI number 1750385647
LBN Legal business name Ham, Michael Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2005
Last updated Jul 16th, 2012 - about 12 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 1750385647 NPPES
California MEDICAID XPY190835

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