Michaelis, Kyle Jerry
Michaelis, Kyle Jerry is an individual health care provider with primary practice located at 101 Bodin Cir , Travis Afb CA 94535-1809. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Michaelis, Kyle Jerry can be contacted via phone (707) 423-5011.Contact Information
Primary practice address
101 Bodin Cir
Travis Afb CA 94535-1809
Phone: (707) 423-5011
Fax: (707) 423-7496
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | A93950 | California |
Profile Details
| NPI number | 1861486425 |
|---|---|
| LBN Legal business name | Michaelis, Kyle Jerry |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 9th, 2005 |
| Last updated | Oct 6th, 2008 - about 17 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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