Michaelson, Jeffrey Evan

Michaelson, Jeffrey Evan is an individual health care provider with primary practice located at 55 Whitcher St Ne Suite 160, Marietta GA 30060-1155. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Michaelson, Jeffrey Evan can be contacted via phone (770) 422-1372.

Contact Information

Primary practice address
55 Whitcher St Ne Suite 160 Marietta GA 30060-1155
Phone: (770) 422-1372
Fax: (770) 423-9651
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 037623 Georgia
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 37623 Georgia
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 037623 Georgia

Profile Details

NPI number 1063495521
LBN Legal business name Michaelson, Jeffrey Evan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2005
Last updated Oct 17th, 2019 - about 5 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 1063495521 NPPES
Georgia MEDICAID 00645147C
Georgia Other 2999766
Georgia Other 202I294296
Georgia Other 290012142
Georgia Other 5341107
Georgia Other 58-1831482
Georgia Other 767305
Georgia Other 0932200001
Georgia Other 5932
Georgia Other 6054810006
Georgia Other 4820111

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