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:
Health care specialties
| Specialty | Code | License # | 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 | Feb 2nd, 2011 - about 15 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 | 1265460463 | NPPES |
| Nevada | MEDICAID | 002085724 | |
| Nevada | MEDICAID | GR0005620 |
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