Lacaze, Michael James
Lacaze, Michael James is an individual health care provider with primary practice located at 1050 Gail Gardner Way Ste 300 , Prescott AZ 86305-1640. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Lacaze, Michael James can be contacted via phone (928) 717-5232.Contact Information
Primary practice address
1050 Gail Gardner Way Ste 300
Prescott AZ 86305-1640
Phone: (928) 717-5232
Fax: (928) 717-5238
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 5315064402 | Michigan |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 5315064402 | Michigan |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 006806 | Arizona |
Profile Details
| NPI number | 1003161035 |
|---|---|
| LBN Legal business name | Lacaze, Michael James |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 16th, 2012 |
| Last updated | Dec 5th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003161035 | NPPES |
| Arizona | MEDICAID | Z192483 | |
| Arizona | Other | 006806 | |
| Arizona | MEDICAID | 1003161035 |
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