Line, Michael R

Line, Michael R is an sole proprietor health care provider with primary practice located at 1200 Pleasant Street Blank Children'S Hospital, Des Moines IA 50309-1453. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Line, Michael R can be contacted via phone (515) 241-5926.

Contact Information

Primary practice address
1200 Pleasant Street Blank Children'S Hospital Des Moines IA 50309-1453
Fax: (515) 241-5127
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 38276 Iowa
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 42848 Colorado

Profile Details

NPI number 1881779684
LBN Legal business name Line, Michael R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 27th, 2006
Last updated Jun 24th, 2009 - about 15 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 1881779684 NPPES
Iowa MEDICAID 1881779684
Iowa MEDICAID 88803813

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