Life, David Michael

Life, David Michael is an individual health care provider with primary practice located at 147 Willow Tree Way , Hurricane WV 25526-1085. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Life, David Michael can be contacted via phone (304) 397-3002.

Contact Information

Primary practice address
147 Willow Tree Way Hurricane WV 25526-1085
Phone: (304) 397-3002
Fax: (304) 397-3007
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 17526 West Virginia
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 17526 West Virginia

Profile Details

NPI number 1467416875
LBN Legal business name Life, David Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Apr 22nd, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467416875 NPPES
Other P00138935 RAILROAD MEDICARE
MEDICAID 0054842-000 RAILROAD MEDICARE

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