Puruckherr, Michael
Puruckherr, Michael is an individual health care provider with primary practice located at 700 Ne 87Th Ave Suite 250, Vancouver WA 98664-1913. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Puruckherr, Michael can be contacted via phone (360) 882-2778.Contact Information
Primary practice address
700 Ne 87Th Ave Suite 250
Vancouver WA 98664-1913
Phone: (360) 882-2778
Fax: (360) 604-1727
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | MD00043378 | Washington |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | MD00043378 | Washington |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 0101266905 | Virginia |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | MD00043378 | Washington |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 2021046940 | Missouri |
Profile Details
| NPI number | 1487684353 |
|---|---|
| LBN Legal business name | Puruckherr, Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 4th, 2006 |
| Last updated | Apr 28th, 2022 - about 2 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 | 1487684353 | NPPES |
| Missouri | MEDICAID | 200104425 | |
| Missouri | Other | AB32999 | |
| Missouri | MEDICAID | 7047629 | |
| Missouri | MEDICAID | 1120898 |
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