Axe, Michelle Renee
Axe, Michelle Renee is an individual health care provider with primary practice located at 1130 West Michigan Street Fesler Hall Room 204 , Indianapolis IN 46202-5209. She 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 / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Axe, Michelle Renee can be contacted via phone (317) 274-0076.Contact Information
Primary practice address
1130 West Michigan Street Fesler Hall Room 204
Indianapolis IN 46202-5209
Phone: (317) 274-0076
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 01089559A | Indiana |
Profile Details
| NPI number | 1013545540 |
|---|---|
| LBN Legal business name | Axe, Michelle Renee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 30th, 2020 |
| Last updated | Nov 21st, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013545540 | NPPES |
| Indiana | Other | 1104240070 | ANTHEM PTAN |
| Indiana | MEDICAID | 300050652 | ANTHEM PTAN |
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