Ambrose, Michael

Ambrose, Michael is an individual health care provider with primary practice located at 605 N 12Th St , Mount Vernon IL 62864. He recently has 3 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Ambrose, Michael can be contacted via phone (618) 241-2212.

Contact Information

Primary practice address
605 N 12Th St Mount Vernon IL 62864
Phone: (618) 241-2212
Fax: (618) 241-2508
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 038010043 Illinois
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 036128279 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036128279 Illinois

Profile Details

NPI number 1538398680
LBN Legal business name Ambrose, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2009
Last updated Mar 25th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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