Preston, Michele Ann

Preston, Michele Ann is an individual health care provider with primary practice located at 101 Civic Center Ln , Lake Havasu City AZ 86403-5607. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Preston, Michele Ann can be contacted via phone (928) 453-0174.

Contact Information

Primary practice address
101 Civic Center Ln Lake Havasu City AZ 86403-5607
Phone: (928) 453-0174
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 3877 Arizona

Profile Details

NPI number 1760432793
LBN Legal business name Preston, Michele Ann
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Dec 23rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760432793 NPPES
Arizona MEDICAID 790544

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