Micheletti, Donald Wililam

Micheletti, Donald Wililam is an individual health care provider with primary practice located at 1771 Northcrest Dr , Crescent City CA 95531-8922. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Micheletti, Donald Wililam can be contacted via phone (707) 465-8666.

Contact Information

Primary practice address
1771 Northcrest Dr Crescent City CA 95531-8922
Fax: (707) 465-6166
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G69692 California

Profile Details

NPI number 1275531998
LBN Legal business name Micheletti, Donald Wililam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Apr 30th, 2008 - about 16 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 1275531998 NPPES
Oregon Other 100251 NORIDIAN
Oregon MEDICAID 00G696920 NORIDIAN

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