Mwasumbi, Michael

Mwasumbi, Michael is an sole proprietor health care provider with primary practice located at 2201 S Clear Creek Rd , Killeen TX 76549-4110. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Mwasumbi, Michael can be contacted via phone (254) 526-7523.

Contact Information

Primary practice address
2201 S Clear Creek Rd Killeen TX 76549-4110
Phone: (254) 526-7523
Fax: (254) 724-8572
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X AP113931 Texas

Profile Details

NPI number 1306832514
LBN Legal business name Mwasumbi, Michael
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 22nd, 2005
Last updated Jan 26th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306832514 NPPES
Alabama MEDICAID 009983085
Alabama MEDICAID 3634491
Alabama MEDICAID 74009333

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