Michaels, Keith P

Michaels, Keith P is an individual health care provider with primary practice located at 6229 W 87Th St , Los Angeles CA 90045-3901. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, which is considered as his primary health care specialty. Michaels, Keith P can be contacted via phone (310) 677-1168.

Contact Information

Primary practice address
6229 W 87Th St Los Angeles CA 90045-3901
Fax: (310) 677-0203
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X AU2428 California

Profile Details

NPI number 1720122450
LBN Legal business name Michaels, Keith P
Credentials AUD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2007
Last updated Dec 15th, 2016 - about 8 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 1720122450 NPPES
California Other AU2428 AUDIOLOGY LICENSE NUMBER
California MEDICAID GAU001090 AUDIOLOGY LICENSE NUMBER
California MEDICAID AU0024280 AUDIOLOGY LICENSE NUMBER
California Other HA7011 AUDIOLOGY LICENSE NUMBER
California Other ZZZ62880Z AUDIOLOGY LICENSE NUMBER

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