Draelos, Michael T.
Draelos, Michael T. is an individual health care provider with primary practice located at 624 Quaker Ln Suite 105C, High Point NC 27262-3832. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Draelos, Michael T. can be contacted via phone (336) 802-2105.Contact Information
Primary practice address
624 Quaker Ln Suite 105C
High Point NC 27262-3832
Phone: (336) 802-2105
Fax: (336) 802-2106
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 31272 | North Carolina |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 31272 | North Carolina |
Profile Details
| NPI number | 1104842665 |
|---|---|
| LBN Legal business name | Draelos, Michael T. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 15th, 2006 |
| Last updated | Jun 23rd, 2009 - about 17 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 | 1104842665 | NPPES |
| North Carolina | Other | 100008458 | RAILROAD MEDICARE |
| North Carolina | MEDICAID | 8929143 | RAILROAD MEDICARE |
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