Line, Michael J
Line, Michael J is an individual health care provider with primary practice located at 2525 Jolly Rd Ste 240 , Okemos MI 48864-3681. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Line, Michael J can be contacted via phone (989) 729-4304.Contact Information
Primary practice address
2525 Jolly Rd Ste 240
Okemos MI 48864-3681
Phone: (989) 729-4304
Fax: (989) 729-4308
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 5601004472 | Michigan |
Profile Details
| NPI number | 1518000587 |
|---|---|
| LBN Legal business name | Line, Michael J |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2007 |
| Last updated | Sep 26th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518000587 | NPPES |
| Michigan | MEDICAID | 1508000587 |
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