Michelson, Marie L.

Michelson, Marie L. is an individual health care provider with primary practice located at 250 Park St , Bowling Green KY 42101-1760. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Michelson, Marie L. can be contacted via phone (270) 745-1323.

Contact Information

Primary practice address
250 Park St Bowling Green KY 42101-1760
Phone: (270) 745-1323
Fax: (270) 745-1332
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 28546 Kentucky

Profile Details

NPI number 1598757825
LBN Legal business name Michelson, Marie L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2005
Last updated Aug 24th, 2007 - about 17 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 1598757825 NPPES
Kentucky MEDICAID 64285463

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