Staab, Michael A
Staab, Michael A is an individual health care provider with primary practice located at 4949 Tamiami Trl N Ste 206, Naples FL 34103-3027. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Staab, Michael A can be contacted via phone (239) 261-1158.Contact Information
Primary practice address
4949 Tamiami Trl N Ste 206
Naples FL 34103-3027
Phone: (239) 261-1158
Fax: (239) 261-4232
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | ME 93629 | Florida |
Profile Details
| NPI number | 1083604557 |
|---|---|
| LBN Legal business name | Staab, Michael A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1083604557 | NPPES |
| Other | 16595 | BLUE CROSS/BLUE SHIELD |
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