Reisig, Michael Anthony
Reisig, Michael Anthony is an individual health care provider with primary practice located at 2828 International Cir Suite 140, Colorado Springs CO 80910-3127. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Reisig, Michael Anthony can be contacted via phone (719) 632-5700.Contact Information
Primary practice address
2828 International Cir Suite 140
Colorado Springs CO 80910-3127
Phone: (719) 632-5700
Fax: (719) 344-7821
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 5776190-1205 | Utah |
Profile Details
| NPI number | 1588662639 |
|---|---|
| LBN Legal business name | Reisig, Michael Anthony |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2005 |
| Last updated | Sep 23rd, 2013 - about 11 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 | 1588662639 | NPPES |
| Colorado | MEDICAID | 90807782 | |
| Colorado | MEDICAID | 061506129008 |
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