Johnell, Michael W

Johnell, Michael W is an individual health care provider with primary practice located at 1801 16Th St , Greeley CO 80631-5154. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Johnell, Michael W can be contacted via phone (970) 378-4433.

Contact Information

Primary practice address
1801 16Th St Greeley CO 80631-5154
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 39436 Colorado

Profile Details

NPI number 1790700029
LBN Legal business name Johnell, Michael W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Dec 4th, 2009 - about 16 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 1790700029 NPPES
Colorado MEDICAID 77174879

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