Jeannette, Michelle

Jeannette, Michelle is an individual health care provider with primary practice located at 7750 E Broadway Blvd Ste A100 , Tucson AZ 85710-3901. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Jeannette, Michelle can be contacted via phone (520) 327-1529.

Contact Information

Primary practice address
7750 E Broadway Blvd Ste A100 Tucson AZ 85710-3901
Phone: (520) 327-1529
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD00036503 Washington
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD00036503 Washington
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 22443 Arizona

Profile Details

NPI number 1861469322
LBN Legal business name Jeannette, Michelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2006
Last updated Nov 29th, 2023 - about 3 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 1861469322 NPPES
Arizona MEDICAID 191007
Arizona Other 22443
Arizona MEDICAID 8228892

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