Michel, Marlon B

Michel, Marlon B is an sole proprietor health care provider with primary practice located at 20704 Snag Island Dr E , Lake Tapps WA 98391-8712. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Michel, Marlon B can be contacted via phone (206) 499-6696.

Contact Information

Primary practice address
20704 Snag Island Dr E Lake Tapps WA 98391-8712
Phone: (206) 499-6696
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 5685713-1205 Utah
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD00044212 Washington

Profile Details

NPI number 1578664892
LBN Legal business name Michel, Marlon B
Credentials MD MBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2006
Last updated Sep 1st, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578664892 NPPES
Utah Other 1502954 UMWA
Utah Other 2090168 UMWA
Utah Other QM0000075886 UMWA
Utah MEDICAID 084958 UMWA
Utah MEDICAID 122721100 UMWA

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