Perala, Michael Clifford
Perala, Michael Clifford is an individual health care provider with primary practice located at 875 Swift Blvd , Richland WA 99352-3592. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Perala, Michael Clifford can be contacted via phone (509) 946-1654.Contact Information
Primary practice address
875 Swift Blvd
Richland WA 99352-3592
Phone: (509) 946-1654
Fax: (509) 943-5652
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | MP0603630 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA10004040 | Washington |
Profile Details
| NPI number | 1346221694 |
|---|---|
| LBN Legal business name | Perala, Michael Clifford |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 11th, 2005 |
| Last updated | Jan 23rd, 2017 - about 7 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 | 1346221694 | NPPES |
| Washington | Other | 145979 | STATE INDUSTRIAL |
| Washington | MEDICAID | 8331233 | STATE INDUSTRIAL |
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