Straka, Michael John

Straka, Michael John is an individual health care provider with primary practice located at 844 Kempsville Rd Ste 212 , Norfolk VA 23502-3927. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Straka, Michael John can be contacted via phone (757) 261-5977.

Contact Information

Primary practice address
844 Kempsville Rd Ste 212 Norfolk VA 23502-3927
Phone: (757) 261-5977
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110840660 Virginia

Profile Details

NPI number 1275500357
LBN Legal business name Straka, Michael John
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Nov 30th, 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 1275500357 NPPES
Virginia MEDICAID 008944962

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