Himmelman, Michael T
Himmelman, Michael T is an individual health care provider with primary practice located at 225 Physicians Park Suite 101, Poplar Bluff MO 63901-3956. He recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Himmelman, Michael T can be contacted via phone (573) 778-9348.Contact Information
Primary practice address
225 Physicians Park Suite 101
Poplar Bluff MO 63901-3956
Phone: (573) 778-9348
Fax: (573) 686-4870
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT2966 | Arkansas |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports | 2251S0007X | PT2966 | Arkansas |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | PT2966 | Arkansas |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 2011037087 | Missouri |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | 2011037087 | |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports | 2251S0007X | 2011037087 |
Profile Details
| NPI number | 1932316940 |
|---|---|
| LBN Legal business name | Himmelman, Michael T |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2007 |
| Last updated | Oct 29th, 2013 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932316940 | NPPES |
| Arkansas | MEDICAID | 164036721 |
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