Artamonov, Mikhail J
Artamonov, Mikhail J is an sole proprietor health care provider with primary practice located at 701 Se 6Th Ave Ste 203B , Delray Beach FL 33483-5186. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Brain Injury Medicine, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Artamonov, Mikhail J can be contacted via phone (570) 872-9800.Contact Information
Primary practice address
701 Se 6Th Ave Ste 203B
Delray Beach FL 33483-5186
Phone: (570) 872-9800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | MD484898 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Brain Injury Medicine | 2081P0301X | MD484898 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | MD484898 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | 250059 | New York |
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | ME100837 | Florida |
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207RA0401X | MD484898 | Pennsylvania |
Profile Details
| NPI number | 1033173471 |
|---|---|
| LBN Legal business name | Artamonov, Mikhail J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 13th, 2006 |
| Last updated | Nov 21st, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033173471 | NPPES |
| Pennsylvania | MEDICAID | 1011567330001 | |
| Pennsylvania | MEDICAID | 03079009 |
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