Bishop, Michael D

Bishop, Michael D is an sole proprietor health care provider with primary practice located at 1155 W 3Rd St , Bloomington IN 47404-5016. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Bishop, Michael D can be contacted via phone (812) 336-1690.

Contact Information

Primary practice address
1155 W 3Rd St Bloomington IN 47404-5016
Fax: (812) 349-1311
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01024588A Indiana

Profile Details

NPI number 1558428839
LBN Legal business name Bishop, Michael D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 3rd, 2007
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1558428839 NPPES
Indiana MEDICAID 100331150

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