Straight, Micah

Straight, Micah is an sole proprietor health care provider with primary practice located at 5 N Crest Pl , Lakewood NJ 08701-2967. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Straight, Micah can be contacted via phone (267) 471-8277.

Contact Information

Primary practice address
5 N Crest Pl Lakewood NJ 08701-2967
Phone: (267) 471-8277
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT013423L Pennsylvania

Profile Details

NPI number 1619140837
LBN Legal business name Straight, Micah
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 9th, 2008
Last updated Apr 9th, 2008 - about 16 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 1619140837 NPPES
Pennsylvania MEDICAID 1020413640001

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