Kelly, Michael G
Kelly, Michael G is an individual health care provider with primary practice located at 1004 Tarboro St W , Wilson NC 27893-4758. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Kelly, Michael G can be contacted via phone (252) 291-7088.Contact Information
Primary practice address
1004 Tarboro St W
Wilson NC 27893-4758
Phone: (252) 291-7088
Fax: (252) 293-1100
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2773 | North Carolina |
Profile Details
| NPI number | 1093806309 |
|---|---|
| LBN Legal business name | Kelly, Michael G |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 28th, 2006 |
| Last updated | Feb 11th, 2008 - about 18 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 | 1093806309 | NPPES |
| North Carolina | Other | 0845C | BCBS |
| North Carolina | MEDICAID | 890845C | BCBS |
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