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:
Health care specialties
Specialty | Code | License # | 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 7 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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