Michael J Line in Okemos - Physician Assistant

Michael J Line - NPI 1518000587

Michael J Line is a Physician Assistant in Okemos, Michigan. Michael J Line practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Michael J Line is 1518000587. The last update date is 2023-09-26.

Michael J Line's current location address is 2525 Jolly Rd Ste 240, Okemos, Michigan. You can contact this provider via phone number 9897294304 and fax number 9897294308. The mailing address for Michael J Line is 2525 Jolly Rd Ste 240, Okemos, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael J Line
Address 2525 Jolly Rd Ste 240, Okemos, Michigan
Phone Number 9897294304
Fax Number 9897294308
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1518000587
Provider Enumeration Date 2007-02-15
Last Updated Date 2023-09-26

Provider Mailing Address Detail

Address 2525 Jolly Rd Ste 240
City Okemos
State Michigan (MI)
Post Code 488643681
Phone Number 9897294304
Fax Number 9897294308

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 5601004472
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1508000587 MI --

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FAQs about Michael J Line

What is the unique identifier code issued to Michael J Line by the Centers for Medicare & Medicaid Services (CMS)?

The Michael J Line has been assigned the NPI (National Provider Identifier) 1518000587. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical address where Michael J Line is geographically located?

The Michael J Line is physically situated at the following location: 2525 Jolly Rd Ste 240, Okemos, MI, 488643681.

What is Michael J Line's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Michael J Line is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.

When did Michael J Line receive its 1518000587 assignment?

The Michael J Line was assigned its 1518000587 on 2007-02-15, which is the date when this unique identifier was issued to the organization.

As of what date was the information regarding Michael J Line, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Michael J Line, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-09-26.

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