Loes, Michael W.
Loes, Michael W. is an sole proprietor health care provider with primary practice located at 11047 N 19Th Ave , Phoenix AZ 85029-4816. He recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as his primary health care specialty. Loes, Michael W. can be contacted via phone (602) 944-2222.Contact Information
Primary practice address
11047 N 19Th Ave
Phoenix AZ 85029-4816
Phone: (602) 944-2222
Fax: (602) 331-2499
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Addiction Medicine | 207RA0401X | MD11336 | Arizona |
Allopathic & Osteopathic Physicians / Addiction Medicine | 207RA0401X | 11336 | Arizona |
Profile Details
NPI number | 1033247630 |
---|---|
LBN Legal business name | Loes, Michael W. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 2nd, 2007 |
Last updated | Feb 17th, 2012 - about 13 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 | 1033247630 | NPPES |
Arizona | Other | AZ0397010 | BLUE CROSS BLUE SHIELD |
Arizona | Other | 188372200 | BLUE CROSS BLUE SHIELD |
Arizona | Other | 25492002 | BLUE CROSS BLUE SHIELD |
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