Prater, Michael Edward
Prater, Michael Edward is an individual health care provider with primary practice located at 1760 Mcculloch Blvd N Ste. 100, Lake Havasu City AZ 86403-6559. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Otolaryngic Allergy, Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Prater, Michael Edward can be contacted via phone (928) 854-5368.Contact Information
Primary practice address
1760 Mcculloch Blvd N Ste. 100
Lake Havasu City AZ 86403-6559
Phone: (928) 854-5368
Fax: (928) 854-4462
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 28430 | Arizona |
| Allopathic & Osteopathic Physicians / Otolaryngic Allergy | 207YX0602X | 28430 | Arizona |
| Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery | 207YX0905X | 28430 | Arizona |
Profile Details
| NPI number | 1598723173 |
|---|---|
| LBN Legal business name | Prater, Michael Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2006 |
| Last updated | Mar 27th, 2008 - about 16 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 | 1598723173 | NPPES |
| Arizona | MEDICAID | 515877 |
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