Babcock, Michelle D.

Babcock, Michelle D. is an individual health care provider with primary practice located at 1351 Westgate Center Dr Dba Forsyth Pediatric Assoc., Winston Salem NC 27103-2934. 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. Babcock, Michelle D. can be contacted via phone (336) 718-7777.

Contact Information

Primary practice address
1351 Westgate Center Dr Dba Forsyth Pediatric Assoc. Winston Salem NC 27103-2934
Phone: (336) 718-7777
Fax: (336) 718-7757
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 104044 North Carolina

Profile Details

NPI number 1730168717
LBN Legal business name Babcock, Michelle D.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Dec 7th, 2011 - about 14 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 1730168717 NPPES
Florida MEDICAID 0027448-00
Florida MEDICAID 003116104A

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