Mcnellis, Michael I

Mcnellis, Michael I is an individual health care provider with primary practice located at 1615 Delaware St , Longview WA 98632-2310. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Mcnellis, Michael I can be contacted via phone (360) 414-2730.

Contact Information

Primary practice address
1615 Delaware St Longview WA 98632-2310
Phone: (360) 414-2730
Fax: (360) 414-2739
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD00031478 Washington
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X MD00031478 Washington
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X MD00031478 Washington

Profile Details

NPI number 1649262171
LBN Legal business name Mcnellis, Michael I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2005
Last updated Jun 9th, 2010 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1649262171 NPPES
Washington Other 8931504 CRIME VICTIMS
Washington MEDICAID 150450 CRIME VICTIMS
Washington MEDICAID 8207748 CRIME VICTIMS
Washington Other 115014 CRIME VICTIMS
Washington Other 290010407 CRIME VICTIMS

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