Provider Demographics
NPI:1922209568
Name:JAMES W MICHEL MD PC
Entity Type:Organization
Organization Name:JAMES W MICHEL MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:W
Authorized Official - Last Name:MICHEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:831-624-2431
Mailing Address - Street 1:PO BOX 4947
Mailing Address - Street 2:LINCOLN 2NE OF 8TH AVE.
Mailing Address - City:CARMEL
Mailing Address - State:CA
Mailing Address - Zip Code:93921-4947
Mailing Address - Country:US
Mailing Address - Phone:831-624-2431
Mailing Address - Fax:831-624-1809
Practice Address - Street 1:2NE LINCOLN AT 8TH AVE.
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:CA
Practice Address - Zip Code:93921-4947
Practice Address - Country:US
Practice Address - Phone:831-624-2431
Practice Address - Fax:831-624-1809
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-30
Last Update Date:2009-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG46554207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ34150ZMedicare ID - Type UnspecifiedCORP ID