Kalisvaart, Michael

Kalisvaart, Michael is an individual health care provider with primary practice located at 555 N Arlington Ave , Reno NV 89503-4723. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Kalisvaart, Michael can be contacted via phone (775) 786-3040.

Contact Information

Primary practice address
555 N Arlington Ave Reno NV 89503-4723
Phone: (775) 786-3040
Fax: (775) 788-5216
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 15233 Nevada
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 15233 Nevada

Profile Details

NPI number 1194989012
LBN Legal business name Kalisvaart, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2008
Last updated Dec 22nd, 2021 - about 4 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 1194989012 NPPES
Nevada MEDICAID 1194989012
Nevada Other 12703525

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