Mcfall, Michael L
Mcfall, Michael L is an sole proprietor health care provider with primary practice located at 932 Gallinas St Suite 103, Las Vegas NM 87701-3891. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Mcfall, Michael L can be contacted via phone (505) 425-7762.Contact Information
Primary practice address
932 Gallinas St Suite 103
Las Vegas NM 87701-3891
Phone: (505) 425-7762
Fax: (505) 454-0801
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 1132 | New Mexico |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1132 | New Mexico |
Profile Details
| NPI number | 1396814075 |
|---|---|
| LBN Legal business name | Mcfall, Michael L |
| Credentials | Registered Physical Therapist (RPT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 7th, 2006 |
| Last updated | Apr 9th, 2020 - about 5 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 | 1396814075 | NPPES |
| New Mexico | MEDICAID | 39185885 |
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