Michel, Jerry Alexander
Michel, Jerry Alexander is an individual health care provider with primary practice located at 9040 Jackson Avenue , Tacoma WA 98431-4746. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Michel, Jerry Alexander can be contacted via phone (253) 968-2130.Contact Information
Primary practice address
9040 Jackson Avenue
Tacoma WA 98431-4746
Phone: (253) 968-2130
Fax: (253) 968-3140
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD00036387 | Washington |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD00036387 | Washington |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | MD00036387 | Washington |
Profile Details
| NPI number | 1538140207 |
|---|---|
| LBN Legal business name | Michel, Jerry Alexander |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 9th, 2005 |
| Last updated | Mar 13th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538140207 | NPPES |
| Washington | MEDICAID | 1092032 |
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