Patterson, Michael Shane

Patterson, Michael Shane is an individual health care provider with primary practice located at 44720 Van Dyke Ave , Utica MI 48317-5480. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Patterson, Michael Shane can be contacted via phone (586) 323-7148.

Contact Information

Primary practice address
44720 Van Dyke Ave Utica MI 48317-5480
Fax: (586) 323-7215
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X 5101014038 Michigan
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 5101014038 Michigan

Profile Details

NPI number 1891724688
LBN Legal business name Patterson, Michael Shane
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2006
Last updated Mar 31st, 2021 - about 3 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 1891724688 NPPES
Michigan Other 700E031600 BCBS GROUP NUMBER
Michigan Other 11-5501033-5 BCBS GROUP NUMBER

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