Doermann, Michael J
Doermann, Michael J is an individual health care provider with primary practice located at 395 W Bulldog Blvd Fl 6 , Provo UT 84604-3311. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Doermann, Michael J can be contacted via phone (801) 357-0570.Contact Information
Primary practice address
395 W Bulldog Blvd Fl 6
Provo UT 84604-3311
Phone: (801) 357-0570
Fax: (801) 357-7198
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 6679446-1204 | Utah |
Profile Details
| NPI number | 1548645195 |
|---|---|
| LBN Legal business name | Doermann, Michael J |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2015 |
| Last updated | Jan 16th, 2019 - about 7 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 | 1548645195 | NPPES |
| Utah | MEDICAID | 1548645195 |
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