Riesmeyer, Michael William

Riesmeyer, Michael William is an sole proprietor health care provider with primary practice located at 1361 13Th Ave S Suite 210, Jacksonville Beach FL 32250-3233. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Riesmeyer, Michael William can be contacted via phone (904) 247-8187.

Contact Information

Primary practice address
1361 13Th Ave S Suite 210 Jacksonville Beach FL 32250-3233
Phone: (904) 247-8187
Fax: (904) 247-8147
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MA0019428 Florida

Profile Details

NPI number 1538395116
LBN Legal business name Riesmeyer, Michael William
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2009
Last updated Jun 9th, 2009 - about 17 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 1538395116 NPPES
Florida Other C8302 BLUE CROSS & BLUE SHIELD

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