Michael, Mahli
Michael, Mahli is an individual health care provider with primary practice located at 1770 Tierra De Mesilla , Las Cruces NM 88005-3101. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Michael, Mahli can be contacted via phone (575) 526-9189.Contact Information
Primary practice address
1770 Tierra De Mesilla
Las Cruces NM 88005-3101
Phone: (575) 526-9189
Fax: (575) 652-4064
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | PA2004-0055 | New Mexico |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA2004-0055 | New Mexico |
Profile Details
| NPI number | 1194730663 |
|---|---|
| LBN Legal business name | Michael, Mahli |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 30th, 2006 |
| Last updated | Nov 23rd, 2021 - about 3 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 | 1194730663 | NPPES |
| New Mexico | MEDICAID | 84576863 |
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