Slack, Michael

Slack, Michael is an individual health care provider with primary practice located at 4815 Cleveland Blvd , Caldwell ID 83605-6501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Slack, Michael can be contacted via phone (208) 455-3545.

Contact Information

Primary practice address
4815 Cleveland Blvd Caldwell ID 83605-6501
Phone: (208) 455-3545
Fax: (208) 454-9690
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X O-1447 Idaho
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X S3590 Texas

Profile Details

NPI number 1679006076
LBN Legal business name Slack, Michael
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2017
Last updated Feb 20th, 2024 - 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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