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
Phone: (541) 789-2558
Fax: (541) 789-2558
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285965657 | NPPES |
| California | Other | G51239 | THE MEDICAL BOARD OF CALIFORNIS |
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