Michalak, John Alexander
Michalak, John Alexander is an sole proprietor health care provider with primary practice located at 365 Montauk Ave , New London CT 06320-4700. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Michalak, John Alexander can be contacted via phone (860) 444-5151.Contact Information
Primary practice address
365 Montauk Ave
New London CT 06320-4700
Phone: (860) 444-5151
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 12294 | Connecticut |
Profile Details
| NPI number | 1336890136 |
|---|---|
| LBN Legal business name | Michalak, John Alexander |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 12th, 2022 |
| Last updated | Sep 8th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336890136 | NPPES |
| Connecticut | Other | 12294 | INTERVENTIONAL RADIOLOGY |
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