Christie, Michael

Christie, Michael is an individual health care provider with primary practice located at 1400 Emeline Ave , Santa Cruz CA 95060-1976. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Christie, Michael can be contacted via phone (831) 454-4170.

Contact Information

Primary practice address
1400 Emeline Ave Santa Cruz CA 95060-1976
Phone: (831) 454-4170
Fax: (831) 454-4663
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X G56393 California

Profile Details

NPI number 1659486512
LBN Legal business name Christie, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Mar 7th, 2023 - about 3 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 1659486512 NPPES
California Other ZZZ91892Z MEDICARE GROUP ID#
California Other ZZZ92069Z MEDICARE GROUP ID#
California Other ZZZ91891Z MEDICARE GROUP ID#
California MEDICAID 00G563930 MEDICARE GROUP ID#
California Other G56393 MEDICARE GROUP ID#
California Other ZZZ92073Z MEDICARE GROUP ID#

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