Lasalle, Michael Drew
Lasalle, Michael Drew is an sole proprietor health care provider with primary practice located at 200 S Orange Ave 228, Livingston NJ 07039-5817. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Lasalle, Michael Drew can be contacted via phone (973) 322-0133.Contact Information
Primary practice address
200 S Orange Ave 228
Livingston NJ 07039-5817
Phone: (973) 322-0133
Fax: (973) 322-0134
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 25MA05925200 | New Jersey |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 25MA05925200 | New Jersey |
Profile Details
| NPI number | 1770676397 |
|---|---|
| LBN Legal business name | Lasalle, Michael Drew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | May 1st, 2024 - about 2 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 | 1770676397 | NPPES |
| New Jersey | Other | 223600796 | AETNA,HORIZON |
| New Jersey | Other | P1076991 | AETNA,HORIZON |
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