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Contact Information

MICHELLE Y STREET, PAC
23,500 KASSON RD
TRACY, CA95378
 Phone: 209-835-4141
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MICHELLE Y STREET · (Female)

NPI # 1245416817
Status Active
Credentials PAC
Entity Individual
Enumeration date 01/14/2008
Last updated 01/14/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # PA17300
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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