Star, Michael J

Star, Michael J is an individual health care provider with primary practice located at 615 N Michigan St 1St Fl Hospitalist Ste, South Bend IN 46601-1033. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Star, Michael J can be contacted via phone (574) 647-3050.

Contact Information

Primary practice address
615 N Michigan St 1St Fl Hospitalist Ste South Bend IN 46601-1033
Phone: (574) 647-3050
Fax: (574) 647-1094
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 01075143A Indiana

Profile Details

NPI number 1417246018
LBN Legal business name Star, Michael J
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2011
Last updated May 1st, 2023 - about last year

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 1417246018 NPPES
Indiana MEDICAID 300055663

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