Lasalle, Michael John

Lasalle, Michael John is an sole proprietor health care provider with primary practice located at The Orchard Shopping Plaza 24 State Hwy 34 South, 2Nd Level, Colts Neck NJ 07722-0000. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Lasalle, Michael John can be contacted via phone (732) 625-3889.

Contact Information

Primary practice address
The Orchard Shopping Plaza 24 State Hwy 34 South, 2Nd Level Colts Neck NJ 07722-0000
Fax: (732) 625-8389
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X MD2460 New Jersey

Profile Details

NPI number 1336127620
LBN Legal business name Lasalle, Michael John
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 6th, 2006
Last updated Jan 29th, 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 1336127620 NPPES
New Jersey MEDICAID 7915802

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