Rebolledo, Michael A

Rebolledo, Michael A is an individual health care provider with primary practice located at 848 Adams Ave L400, Memphis TN 38103-2816. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Rebolledo, Michael A can be contacted via phone (901) 287-7337.

Contact Information

Primary practice address
848 Adams Ave L400 Memphis TN 38103-2816
Phone: (901) 287-7337
Fax: (901) 287-4646
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X A52896 California
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 54187 Tennessee

Profile Details

NPI number 1891893020
LBN Legal business name Rebolledo, Michael A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Mar 18th, 2016 - about 8 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 1891893020 NPPES
California MEDICAID 00A528960

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