Michaelson, Ira Paul

Michaelson, Ira Paul is an sole proprietor health care provider with primary practice located at 2305 37Th Ave Sw , Minot ND 58701-7669. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Michaelson, Ira Paul can be contacted via phone (701) 857-5000.

Contact Information

Primary practice address
2305 37Th Ave Sw Minot ND 58701-7669
Phone: (701) 857-5000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X C151266 California
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 44790 Massachusetts
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 15083 North Dakota

Profile Details

NPI number 1649261256
LBN Legal business name Michaelson, Ira Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2005
Last updated Dec 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649261256 NPPES
Massachusetts MEDICAID 6184944

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