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:
Health care specialties
Specialty | Code | License # | 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 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1346616174 | NPPES |
Arizona | MEDICAID | 045089 | |
Arizona | Other | AP8025 | |
Arizona | Other | RN187990 |
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