Michaelson, Douglas

Michaelson, Douglas is an individual health care provider with primary practice located at 1 Kish Hospital Dr , Dekalb IL 60115-9602. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Michaelson, Douglas can be contacted via phone (630) 936-4029.

Contact Information

Primary practice address
1 Kish Hospital Dr Dekalb IL 60115-9602
Phone: (630) 936-4029
Fax: (630) 936-4032
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 209011144 Illinois

Profile Details

NPI number 1700208105
LBN Legal business name Michaelson, Douglas
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2014
Last updated Oct 27th, 2020 - about 4 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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