Pro, Michael J
Pro, Michael J is an individual health care provider with primary practice located at 100 Presidential Blvd Ste 200 , Bala Cynwyd PA 19004-1108. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Glaucoma Specialist. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Pro, Michael J can be contacted via phone (484) 434-2700.Contact Information
Primary practice address
100 Presidential Blvd Ste 200
Bala Cynwyd PA 19004-1108
Phone: (484) 434-2700
Fax: (610) 660-0419
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | C1-0008603 | Delaware |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 25MA08060600 | New Jersey |
| Allopathic & Osteopathic Physicians / Glaucoma Specialist | 207WX0009X | MD428512 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Glaucoma Specialist | 207WX0009X | 25MA08060600 | New Jersey |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | MD428512 | Pennsylvania |
Profile Details
| NPI number | 1639137524 |
|---|---|
| LBN Legal business name | Pro, Michael J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2006 |
| Last updated | Nov 4th, 2020 - about 4 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 | 1639137524 | NPPES |
| New Jersey | MEDICAID | 0106356 | |
| New Jersey | MEDICAID | 101630270-0001 | |
| New Jersey | MEDICAID | 101630270-0002 |
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