Koury, Michael John

Koury, Michael John is an individual health care provider with primary practice located at 20211 Patio Drive Ste 205, Castro Valley CA 94546. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Koury, Michael John can be contacted via phone (510) 537-3991.

Contact Information

Primary practice address
20211 Patio Drive Ste 205 Castro Valley CA 94546
Phone: (510) 537-3991
Fax: (510) 537-7997
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT12179 California

Profile Details

NPI number 1093799496
LBN Legal business name Koury, Michael John
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Apr 21st, 2015 - about 11 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 1093799496 NPPES
California Other ZZZ16603Z MEDICARE GROUP PTAN

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