Michelson, Marc Alan
Michelson, Marc Alan is an individual health care provider with primary practice located at 1201 11Th Ave S Ste 501, Birmingham AL 35205-3423. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Michelson, Marc Alan can be contacted via phone (205) 930-0930.Contact Information
Primary practice address
1201 11Th Ave S Ste 501
Birmingham AL 35205-3423
Phone: (205) 930-0930
Fax: (205) 930-9050
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 7455 | Alabama |
Profile Details
| NPI number | 1720081961 |
|---|---|
| LBN Legal business name | Michelson, Marc Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2005 |
| Last updated | Jul 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720081961 | NPPES |
| Alabama | MEDICAID | 000051072 | |
| Alabama | Other | 180037822 | |
| Alabama | Other | 510-51072MIC | |
| Alabama | Other | 0810046 | |
| Alabama | Other | 0488291 | |
| Alabama | Other | 180037822 | |
| Alabama | Other | C75218 |
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