Racine, Michael

Racine, Michael is an individual health care provider with primary practice located at 2570 Nw Edenbower Blvd Ste 100 , Roseburg OR 97471-6214. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Allopathic & Osteopathic Physicians / Pediatric Endocrinology. Allopathic & Osteopathic Physicians / Pediatric Endocrinology is his primary health care specialty. Racine, Michael can be contacted via phone (541) 677-7200.

Contact Information

Primary practice address
2570 Nw Edenbower Blvd Ste 100 Roseburg OR 97471-6214
Phone: (541) 677-7200
Fax: (541) 229-3309
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X MD170115 Oregon
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X MD170115 Oregon

Profile Details

NPI number 1144287848
LBN Legal business name Racine, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Oct 19th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144287848 NPPES
Oregon MEDICAID 500678063

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