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:
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Health care specialties

SpecialtyCodeLicense #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 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467492637 NPPES
Arizona Other 3Z3936 HEALTHNET
Arizona MEDICAID 935041 HEALTHNET

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