Pack, Michael A

Pack, Michael A is an individual health care provider with primary practice located at 601 John St Suite 100, Kalamazoo MI 49007-5341. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Pack, Michael A can be contacted via phone (269) 373-1592.

Contact Information

Primary practice address
601 John St Suite 100 Kalamazoo MI 49007-5341
Phone: (269) 373-1592
Fax: (269) 373-6270
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 5101017554 Michigan

Profile Details

NPI number 1508822966
LBN Legal business name Pack, Michael A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Nov 27th, 2023 - about last year

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 1508822966 NPPES
Michigan Other 1417961137 BCBSM - BRONSON
Michigan MEDICAID 1508822966 BCBSM - BRONSON
Michigan Other 1508822966 BCBSM - BRONSON

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