Michalak, Heather A

Michalak, Heather A is an individual health care provider with primary practice located at 1600 Nashville Hwy , Columbia TN 38401. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Michalak, Heather A can be contacted via phone (931) 388-8965.

Contact Information

Primary practice address
1600 Nashville Hwy Columbia TN 38401
Phone: (931) 388-8965
Fax: (931) 388-0815
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 238606 New York
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD44004 Tennessee

Profile Details

NPI number 1790748994
LBN Legal business name Michalak, Heather A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Mar 18th, 2014 - 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 1790748994 NPPES
Tennessee MEDICAID 1511458

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