Healthcare Provider Details

I. General information

NPI: 1134189954
Provider Name (Legal Business Name): JAMES PATRICK MICHALETS M.D,
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 03/24/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 TUNNEL RD 116A (MENTAL HEALTH SERVICE LINE
ASHEVILLE NC
28805-2043
US

IV. Provider business mailing address

32 WOODCREST RD
ASHEVILLE NC
28804-2847
US

V. Phone/Fax

Practice location:
  • Phone: 828-298-7911
  • Fax: 828-299-5992
Mailing address:
  • Phone: 828-251-0731
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number36574
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: