Reid, Michelle

Reid, Michelle is an individual health care provider with primary practice located at 1741 Sycamore Ave , Kingman AZ 86409-0927. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Reid, Michelle can be contacted via phone (928) 757-7872.

Contact Information

Primary practice address
1741 Sycamore Ave Kingman AZ 86409-0927
Phone: (928) 757-7872
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X RNP240241 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 404006 New York

Profile Details

NPI number 1669001863
LBN Legal business name Reid, Michelle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2020
Last updated Sep 6th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669001863 NPPES
Arizona MEDICAID 004681

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