Shi, Michael

Shi, Michael is an individual health care provider with primary practice located at 2505 W Hammer Ln , Stockton CA 95209-2839. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Shi, Michael can be contacted via phone (209) 957-7050.

Contact Information

Primary practice address
2505 W Hammer Ln Stockton CA 95209-2839
Phone: (209) 957-7050
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A80617 California

Profile Details

NPI number 1154387256
LBN Legal business name Shi, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Jun 15th, 2010 - about 14 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 1154387256 NPPES
California MEDICAID 00A806170

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