Mandrell, Michael

Mandrell, Michael is an individual health care provider with primary practice located at 400 W 16Th St , Pueblo CO 81003-2745. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Mandrell, Michael can be contacted via phone (719) 584-4306.

Contact Information

Primary practice address
400 W 16Th St Pueblo CO 81003-2745
Phone: (719) 584-4306
Fax: (719) 584-4861
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 'RS2014-0418 New Mexico
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X DR.0058185 Colorado

Profile Details

NPI number 1134547557
LBN Legal business name Mandrell, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2014
Last updated Jun 30th, 2017 - about 8 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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