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
Phone: (515) 241-5926
Fax: (515) 241-5127
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881779684 | NPPES |
| Iowa | MEDICAID | 1881779684 | |
| Iowa | MEDICAID | 88803813 |
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