Kacal, Michael John

Kacal, Michael John is an individual health care provider with primary practice located at 6001 34Th St Spc 164 , Lubbock TX 79407-3106. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Kacal, Michael John can be contacted via phone (817) 219-0148.

Contact Information

Primary practice address
6001 34Th St Spc 164 Lubbock TX 79407-3106
Phone: (817) 219-0148
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA03371 Texas

Profile Details

NPI number 1669443727
LBN Legal business name Kacal, Michael John
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Feb 15th, 2024 - about last year

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 1669443727 NPPES
Texas Other 9B847A HEALTHSMART PPO
Texas Other 2242884 HEALTHSMART PPO
Texas Other P00137141 HEALTHSMART PPO
Texas Other 8N4110 HEALTHSMART PPO

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