Von Michaelis, Carol M

Von Michaelis, Carol M is an individual health care provider with primary practice located at 14000 E Arapahoe Rd #300, Centennial CO 80112-4028. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Von Michaelis, Carol M can be contacted via phone (720) 979-0840.

Contact Information

Primary practice address
14000 E Arapahoe Rd #300 Centennial CO 80112-4028
Fax: (303) 861-4741
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2626 Colorado

Profile Details

NPI number 1891941910
LBN Legal business name Von Michaelis, Carol M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2008
Last updated Jun 14th, 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 1891941910 NPPES
Colorado MEDICAID 12987271

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