Jeffries, Michelle L
Jeffries, Michelle L is an sole proprietor health care provider with primary practice located at 1100 S Dobson Rd Ste 223 , Chandler AZ 85286-6160. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Dermatology, which is considered as her primary health care specialty. Jeffries, Michelle L can be contacted via phone (480) 821-8888.Contact Information
Primary practice address
1100 S Dobson Rd Ste 223
Chandler AZ 85286-6160
Phone: (480) 821-8888
Fax: (480) 821-0888
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Dermatology | 207NP0225X | 005347 | Arizona |
Profile Details
| NPI number | 1669703286 |
|---|---|
| LBN Legal business name | Jeffries, Michelle L |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 21st, 2010 |
| Last updated | Aug 25th, 2021 - about 5 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 | 1669703286 | NPPES |
| Arizona | MEDICAID | 545954 | |
| Arizona | Other | P00858778 | |
| Arizona | Other | 1669703286 | |
| Arizona | Other | 4Z2977 | |
| Arizona | Other | 545954 | |
| Arizona | Other | 3873832 |
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