Michaels, Jodi Sharon

Michaels, Jodi Sharon is an individual health care provider with primary practice located at 6025 Lake Rd Suite 200, Woodbury MN 55125-1712. She recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as her primary health care specialty. Michaels, Jodi Sharon can be contacted via phone (651) 999-6800.

Contact Information

Primary practice address
6025 Lake Rd Suite 200 Woodbury MN 55125-1712
Fax: (651) 999-6840
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 53722 Minnesota

Profile Details

NPI number 1922233287
LBN Legal business name Michaels, Jodi Sharon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2009
Last updated Jan 25th, 2015 - about 10 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 1922233287 NPPES
Minnesota Other P00957098 MEDICARE RR

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