Earl, Michael
Earl, Michael is an sole proprietor health care provider with primary practice located at 1200 North Beaver St , Flagstaff AZ 86001-3200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Earl, Michael can be contacted via phone (928) 774-1693.Contact Information
Primary practice address
1200 North Beaver St
Flagstaff AZ 86001-3200
Phone: (928) 774-1693
Fax: (928) 774-3533
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 19713 | Arizona |
Profile Details
| NPI number | 1720161250 |
|---|---|
| LBN Legal business name | Earl, Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 20th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1720161250 | NPPES |
| Other | 412560 | AHCCCS |
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