Whiteley, Michael Joe
Whiteley, Michael Joe is an sole proprietor health care provider with primary practice located at 29214 Quinn Rd , Tomball TX 77375-4486. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Whiteley, Michael Joe can be contacted via phone (281) 351-4208.Contact Information
Primary practice address
29214 Quinn Rd
Tomball TX 77375-4486
Phone: (281) 351-4208
Fax: (281) 351-5417
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | F2109 | Texas |
Profile Details
NPI number | 1295720795 |
---|---|
LBN Legal business name | Whiteley, Michael Joe |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 12th, 2005 |
Last updated | Mar 7th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1295720795 | NPPES |
Texas | Other | 45DO8899310 | CLIA # |
Texas | Other | 0718145 | CLIA # |
Texas | MEDICAID | 032573001 | CLIA # |
Texas | Other | F2109 | CLIA # |
Texas | Other | H0048255 | CLIA # |
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