Healthcare Provider Details
I. General information
NPI: 1932217411
Provider Name (Legal Business Name): MICHAEL JAMESON BEHRMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/26/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2323 DELAVINA STE 201
SANTA BARBARA CA
93105
US
IV. Provider business mailing address
2323 DELAVINA STE 201
SANTA BARBARA CA
93105
US
V. Phone/Fax
- Phone: 805-682-2267
- Fax: 805-563-0970
- Phone: 805-682-2267
- Fax: 805-563-0970
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207XS0106X |
| Taxonomy | Orthopaedic Hand Surgery Physician |
| License Number | G71132 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: