Mcqueen, Michael Covert

Mcqueen, Michael Covert is an individual health care provider with primary practice located at 7720 N 16Th St #425 Desert Neonatology Associates, Phoenix AZ 85020-4492. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Mcqueen, Michael Covert can be contacted via phone (602) 476-8962.

Contact Information

Primary practice address
7720 N 16Th St #425 Desert Neonatology Associates Phoenix AZ 85020-4492
Phone: (602) 476-8962
Fax: (623) 643-9236
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 19723 Arizona

Profile Details

NPI number 1225010093
LBN Legal business name Mcqueen, Michael Covert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2005
Last updated Feb 27th, 2012 - about 13 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 1225010093 NPPES
Arizona MEDICAID 015281

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