Whiteley, Michael Joe

Whiteley, Michael Joe is an sole proprietor health care provider with primary practice located at 29214 Quinn Rd , Tomball TX 77375-4486. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Whiteley, Michael Joe can be contacted via phone (281) 351-4208.

Contact Information

Primary practice address
29214 Quinn Rd Tomball TX 77375-4486
Phone: (281) 351-4208
Fax: (281) 351-5417
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X F2109 Texas

Profile Details

NPI number 1295720795
LBN Legal business name Whiteley, Michael Joe
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 12th, 2005
Last updated Mar 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 1295720795 NPPES
Texas Other 45DO8899310 CLIA #
Texas Other 0718145 CLIA #
Texas MEDICAID 032573001 CLIA #
Texas Other F2109 CLIA #
Texas Other H0048255 CLIA #

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