Drake, Michael

Drake, Michael is an individual health care provider with primary practice located at 3700 Washington Ave St Mary'S Medical Center Anesthesia Dept, Evansville IN 47750. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Drake, Michael can be contacted via phone (812) 485-4000.

Contact Information

Primary practice address
3700 Washington Ave St Mary'S Medical Center Anesthesia Dept Evansville IN 47750
Phone: (812) 485-4000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 01028948A Indiana
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 01028948A Indiana

Profile Details

NPI number 1720029721
LBN Legal business name Drake, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated May 26th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720029721 NPPES
Indiana Other 000000040944 BLUE SHIELD
Indiana MEDICAID 100247010 BLUE SHIELD
Indiana Other 050002640 BLUE SHIELD
Indiana MEDICAID 64755606 BLUE SHIELD

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