Michaels, Michael Jerome

Michaels, Michael Jerome is an individual health care provider with primary practice located at 17 Old Rollinsford Rd Suite 3, Dover NH 03820-2833. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Michaels, Michael Jerome can be contacted via phone (603) 742-5011.

Contact Information

Primary practice address
17 Old Rollinsford Rd Suite 3 Dover NH 03820-2833
Phone: (603) 742-5011
Fax: (603) 742-3530
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 12035 New Hampshire
Allopathic & Osteopathic Physicians / Urology 208800000X 12035 New Hampshire

Profile Details

NPI number 1982660056
LBN Legal business name Michaels, Michael Jerome
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Nov 16th, 2010 - about 14 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 1982660056 NPPES
New Hampshire Other 01Y005120NH01 BC/BS
New Hampshire MEDICAID 287420099 BC/BS
New Hampshire Other G97819 BC/BS
New Hampshire Other 9230227 BC/BS
New Hampshire MEDICAID 30204823 BC/BS
New Hampshire Other 7718562 BC/BS

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