Doyle, Michael Phillip

Doyle, Michael Phillip is an sole proprietor health care provider with primary practice located at 2074 Lake Tahoe Blvd Ste 9, South Lake Tahoe CA 96150-6407. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Doyle, Michael Phillip can be contacted via phone (530) 541-6100.

Contact Information

Primary practice address
2074 Lake Tahoe Blvd Ste 9 South Lake Tahoe CA 96150-6407
Phone: (530) 541-6100
Fax: (530) 541-5945
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G71419 California

Profile Details

NPI number 1265460463
LBN Legal business name Doyle, Michael Phillip
Credentials MEDICAL DOCTOR
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2006
Last updated Jan 10th, 2025 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265460463 NPPES
California MEDICAID GR0005620
California MEDICAID 002085724

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