Michael, Philip Fred

Michael, Philip Fred is an individual health care provider with primary practice located at 2825 E Barnett Rd , Medford OR 97504-8332. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Michael, Philip Fred can be contacted via phone (541) 789-2558.

Contact Information

Primary practice address
2825 E Barnett Rd Medford OR 97504-8332
Fax: (541) 789-2558
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X G51239 California
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD183405 Oregon

Profile Details

NPI number 1285965657
LBN Legal business name Michael, Philip Fred
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 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 1285965657 NPPES
California Other G51239 THE MEDICAL BOARD OF CALIFORNIS

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