Vernon, Michael Stephen

Vernon, Michael Stephen is an individual health care provider with primary practice located at 15110 John J Delaney Dr Suite 200, Charlotte NC 28277-3545. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Vernon, Michael Stephen can be contacted via phone (704) 302-8100.

Contact Information

Primary practice address
15110 John J Delaney Dr Suite 200 Charlotte NC 28277-3545
Phone: (704) 302-8100
Fax: (704) 302-8101
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 28362 North Carolina

Profile Details

NPI number 1902813223
LBN Legal business name Vernon, Michael Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Mar 31st, 2011 - about 13 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 1902813223 NPPES
North Carolina MEDICAID 8985031

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