Healthcare Provider Details

I. General information

NPI: 1033761333
Provider Name (Legal Business Name): ROBERT MICHEL
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2019
Last Update Date: 07/19/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7171 BOWLING DR
SACRAMENTO CA
95823-2034
US

IV. Provider business mailing address

7171 BOWLING DR
SACRAMENTO CA
95823-2034
US

V. Phone/Fax

Practice location:
  • Phone: 916-394-9195
  • Fax:
Mailing address:
  • Phone: 916-394-9195
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2470A2800X
TaxonomyAssistant Health Information Record Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: