Lakes, Michale D

Lakes, Michale D is an individual health care provider with primary practice located at 4000 Miamisburg Centerville Rd , Miamisburg OH 45342-7615. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Lakes, Michale D can be contacted via phone (937) 384-8798.

Contact Information

Primary practice address
4000 Miamisburg Centerville Rd Miamisburg OH 45342-7615
Fax: (937) 384-8729
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 34007459 Ohio

Profile Details

NPI number 1386622025
LBN Legal business name Lakes, Michale D
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2006
Last updated May 6th, 2020 - about 5 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 1386622025 NPPES
Ohio MEDICAID 2257267

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