Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | DC005367L | PA |
N | 111NN0400X | Neurology | 229 | PA |
NPI | 1972604536 |
---|---|
Provider Name | Michael Jon Kaye |
First Address | Sellersville, PA 18960 |
Second Address | Sellersville, PA 18960 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2006 |
Last Update Date | 15/11/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01544651 | (05) | PA |
U43812 | (02) |