Michelson, Elyse Lynn

Michelson, Elyse Lynn is an individual health care provider with primary practice located at 750 Main St Ste 205 , Reisterstown MD 21136-2516. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Michelson, Elyse Lynn can be contacted via phone (410) 526-3041.

Contact Information

Primary practice address
750 Main St Ste 205 Reisterstown MD 21136-2516
Fax: (410) 584-1890
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X D60680 Maryland

Profile Details

NPI number 1346299591
LBN Legal business name Michelson, Elyse Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2006
Last updated Dec 7th, 2020 - about 6 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 1346299591 NPPES
Maryland MEDICAID 403260800

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