Duffy, Michael J

Duffy, Michael J is an individual health care provider with primary practice located at 3315 Broadway , Oakland CA 94611-5717. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Duffy, Michael J can be contacted via phone (510) 486-2300.

Contact Information

Primary practice address
3315 Broadway Oakland CA 94611-5717
Phone: (510) 486-2300
Fax: (510) 486-2333
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA11368 California

Profile Details

NPI number 1801839188
LBN Legal business name Duffy, Michael J
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Jul 21st, 2022 - about 4 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 1801839188 NPPES
New York MEDICAID 37623171

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