Haskell, Michael Ray

Haskell, Michael Ray is an individual health care provider with primary practice located at 120 East Howard Avenue Teton Valley Health Care, Driggs ID 83422-5112. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Haskell, Michael Ray can be contacted via phone (208) 354-6302.

Contact Information

Primary practice address
120 East Howard Avenue Teton Valley Health Care Driggs ID 83422-5112
Phone: (208) 354-6302
Fax: (208) 354-3158
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 576 Wyoming
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 576 Wyoming

Profile Details

NPI number 1457794083
LBN Legal business name Haskell, Michael Ray
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2013
Last updated Dec 14th, 2016 - about 9 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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