Serrano, Michael

Serrano, Michael is an sole proprietor health care provider with primary practice located at 3505-A Western Ave , Kingman AZ 86409. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Serrano, Michael can be contacted via phone (928) 757-8111.

Contact Information

Primary practice address
3505-A Western Ave Kingman AZ 86409
Phone: (928) 757-8111
Fax: (928) 757-3256
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP8025 Arizona

Profile Details

NPI number 1346616174
LBN Legal business name Serrano, Michael
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 17th, 2015
Last updated Sep 12th, 2022 - about 3 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 1346616174 NPPES
Arizona MEDICAID 045089
Arizona Other AP8025
Arizona Other RN187990

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