Michaels, James P
Michaels, James P is an individual health care provider with primary practice located at 3414 Golden Rd , Tyler TX 75701-8336. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Michaels, James P can be contacted via phone (903) 939-7500.Contact Information
Primary practice address
3414 Golden Rd
Tyler TX 75701-8336
Phone: (903) 939-7500
Fax: (800) 248-0426
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | K0525 | Texas |
Profile Details
| NPI number | 1881617611 |
|---|---|
| LBN Legal business name | Michaels, James P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2006 |
| Last updated | Oct 23rd, 2022 - about 4 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 | 1881617611 | NPPES |
| Texas | Other | 0049KV | BLUE CROSS GROUP # |
| Texas | Other | 200227003 | BLUE CROSS GROUP # |
| Texas | Other | DB0396 | BLUE CROSS GROUP # |
| Texas | MEDICAID | 165794201 | BLUE CROSS GROUP # |
| Texas | Other | N0097455 | BLUE CROSS GROUP # |
| Texas | Other | P00083929 | BLUE CROSS GROUP # |
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