King, Michael Lee

King, Michael Lee is an individual health care provider with primary practice located at 1600 N Grand Ave Ste 510, Pueblo CO 81003-2700. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. King, Michael Lee can be contacted via phone (719) 566-3535.

Contact Information

Primary practice address
1600 N Grand Ave Ste 510 Pueblo CO 81003-2700
Phone: (719) 566-3535
Fax: (719) 566-3565
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 28090 Colorado

Profile Details

NPI number 1073537239
LBN Legal business name King, Michael Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Jul 8th, 2007 - about 17 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 1073537239 NPPES
Colorado MEDICAID 01280908

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