Sise, Michael J.
Sise, Michael J. is an sole proprietor health care provider with primary practice located at 550 Washington St. Suite 641, San Diego CA 92103-2229. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Sise, Michael J. can be contacted via phone (619) 299-2600.Contact Information
Primary practice address
550 Washington St. Suite 641
San Diego CA 92103-2229
Phone: (619) 299-2600
Fax: (619) 299-3923
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | G48515 | California |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | G48515 | California |
Profile Details
| NPI number | 1487617627 |
|---|---|
| LBN Legal business name | Sise, Michael J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 10th, 2006 |
| Last updated | Apr 16th, 2013 - about 12 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 | 1487617627 | NPPES |
| California | MEDICAID | 00G485150 |
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