MISS MARY L MICHAL M.D. NPI 1275534810

NPI Information

NPI: 1275534810
Provider Name: MISS MARY L MICHAL, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
302 WESLEY ST
STE 10
JOHNSON CITY, TN
ZIP 37601
Phone: (423) 928-9007
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MISS Mary L Michal, M.D. is a specialist in Johnson City, TN. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MISS Mary L Michal, M.D. NPI is 1275534810. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

302 WESLEY ST
STE 10
JOHNSON CITY, TN
ZIP 37601-740
Phone: (423) 928-9007
Fax: (423) 928-9249

The enumeration date for this NPI number is 8/4/2005 and was last updated on 3/12/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		MD0000003984	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	6738371	MEDICAID	VIRGINIA
2	3846544	MEDICARE ID-TYPE UNSPECIFIED	TENNESSEE
3	6906086	MEDICAID	NORTH CAROLINA
4	B03200	MEDICARE UPIN	TENNESSEE
5	3846544	MEDICAID	TENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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