Hurst, Michael D

Hurst, Michael D is an individual health care provider with primary practice located at 632 W 11Th St Suite 119, Tracy CA 95376-3856. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Hurst, Michael D can be contacted via phone (209) 832-5500.

Contact Information

Primary practice address
632 W 11Th St Suite 119 Tracy CA 95376-3856
Phone: (209) 832-5500
Fax: (209) 832-5505
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 20A8081 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 20A8081 California

Profile Details

NPI number 1205893104
LBN Legal business name Hurst, Michael D
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Feb 6th, 2013 - about 13 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 1205893104 NPPES
California MEDICAID 00AX80810

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