Metcalfe, Michael John

Metcalfe, Michael John is an individual health care provider with primary practice located at 239 Park Ave , Portland ME 04102-2911. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Metcalfe, Michael John can be contacted via phone (651) 285-2478.

Contact Information

Primary practice address
239 Park Ave Portland ME 04102-2911
Phone: (651) 285-2478
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 1911 Minnesota
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT678 Maine

Profile Details

NPI number 1235451311
LBN Legal business name Metcalfe, Michael John
Credentials MS, ATC, CSCS, CES
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2010
Last updated Mar 17th, 2018 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1235451311 NPPES
Maine Other AT678 ATHLETIC TRAINING LICENSE

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