Hitchcock, Michelle R
Hitchcock, Michelle R is an sole proprietor health care provider with primary practice located at 14520 W Granite Valley Dr Suite 210, Sun City West AZ 85375-5855. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Hitchcock, Michelle R can be contacted via phone (623) 537-5600.Contact Information
Primary practice address
14520 W Granite Valley Dr Suite 210
Sun City West AZ 85375-5855
Phone: (623) 537-5600
Fax: (866) 939-2673
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 3006 | Arizona |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 3006 | Arizona |
Profile Details
NPI number | 1467492637 |
---|---|
LBN Legal business name | Hitchcock, Michelle R |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 7th, 2006 |
Last updated | Feb 23rd, 2024 - about 10 months 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 | 1467492637 | NPPES |
Arizona | Other | 3Z3936 | HEALTHNET |
Arizona | MEDICAID | 935041 | HEALTHNET |
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