Preston, Michele Ann
Preston, Michele Ann is an individual health care provider with primary practice located at 101 Civic Center Ln , Lake Havasu City AZ 86403-5607. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Preston, Michele Ann can be contacted via phone (928) 453-0174.Contact Information
Primary practice address
101 Civic Center Ln
Lake Havasu City AZ 86403-5607
Phone: (928) 453-0174
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 3877 | Arizona |
Profile Details
| NPI number | 1760432793 |
|---|---|
| LBN Legal business name | Preston, Michele Ann |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2006 |
| Last updated | Dec 23rd, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760432793 | NPPES |
| Arizona | MEDICAID | 790544 |
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