Mott, Michael W

Mott, Michael W is an individual health care provider with primary practice located at 3232 N Wellness Dr , Holland MI 49424-8027. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mott, Michael W can be contacted via phone (616) 494-4250.

Contact Information

Primary practice address
3232 N Wellness Dr Holland MI 49424-8027
Phone: (616) 494-4250
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301051505 Michigan

Profile Details

NPI number 1366493520
LBN Legal business name Mott, Michael W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2006
Last updated Jan 11th, 2016 - about 10 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 1366493520 NPPES
Michigan MEDICAID 4771027
Michigan Other 1598712390
Michigan MEDICAID 4771072
Michigan MEDICAID 4773999
Michigan Other 11284226
Michigan MEDICAID 4770870
Michigan MEDICAID 4773792

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