Runyon, Michael Blake

Runyon, Michael Blake is an individual health care provider with primary practice located at 13701 Burbank Blvd , Van Nuys CA 91401-5040. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Runyon, Michael Blake can be contacted via phone (818) 997-1216.

Contact Information

Primary practice address
13701 Burbank Blvd Van Nuys CA 91401-5040
Phone: (818) 997-1216
Fax: (818) 997-4458
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X E1908 California

Profile Details

NPI number 1225006950
LBN Legal business name Runyon, Michael Blake
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Mar 7th, 2023 - about last year

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 1225006950 NPPES
California Other E1908 CALIFORNIA STATE LICENSE

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