Deshazo, Michael H
Deshazo, Michael H is an individual health care provider with primary practice located at 6325 Humphreys Blvd , Memphis TN 38120-2300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Deshazo, Michael H can be contacted via phone (901) 522-7700.Contact Information
Primary practice address
6325 Humphreys Blvd
Memphis TN 38120-2300
Phone: (901) 522-7700
Fax: (901) 522-2550
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MD07728 | Tennessee |
Profile Details
| NPI number | 1255320669 |
|---|---|
| LBN Legal business name | Deshazo, Michael H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 18th, 2005 |
| Last updated | Feb 10th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255320669 | NPPES |
| Tennessee | MEDICAID | 3166245 |
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