Pace, Michael J

Pace, Michael J is an individual health care provider with primary practice located at 113 W Hickory St , Neosho MO 64850-1705. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Pace, Michael J can be contacted via phone (417) 451-1234.

Contact Information

Primary practice address
113 W Hickory St Neosho MO 64850-1705
Phone: (417) 451-1234
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 4490 Oklahoma
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4490 Oklahoma
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2016017569 Missouri

Profile Details

NPI number 1437377538
LBN Legal business name Pace, Michael J
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2007
Last updated Sep 7th, 2023 - about 2 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 1437377538 NPPES
Oklahoma MEDICAID 200115370A
Oklahoma MEDICAID 206321200
Oklahoma MEDICAID 500359203
Oklahoma MEDICAID 200059690A

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