Nellestein, Michael E.
Nellestein, Michael E. is an sole proprietor health care provider with primary practice located at 1341 Village Dr , Saint Joseph MO 64506-2457. He recently has only one registered license in Allopathic & Osteopathic Physicians / Phlebology, which is considered as his primary health care specialty. Nellestein, Michael E. can be contacted via phone (816) 291-4149.Contact Information
Primary practice address
1341 Village Dr
Saint Joseph MO 64506-2457
Phone: (816) 291-4149
Fax: (816) 897-3969
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Phlebology | 202K00000X | 101630 | Missouri |
Profile Details
| NPI number | 1104848662 |
|---|---|
| LBN Legal business name | Nellestein, Michael E. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 24th, 2006 |
| Last updated | Sep 29th, 2016 - about 9 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 | 1104848662 | NPPES |
| Missouri | MEDICAID | 208881938 |
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