Diaz, Luis Michael
Diaz, Luis Michael is an sole proprietor health care provider with primary practice located at 970 Tommy Munro Dr Ste B , Biloxi MS 39532-2130. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Diaz, Luis Michael can be contacted via phone (228) 396-2663.Contact Information
Primary practice address
970 Tommy Munro Dr Ste B
Biloxi MS 39532-2130
Phone: (228) 396-2663
Fax: (228) 396-2664
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 19063 | Mississippi |
Profile Details
| NPI number | 1245436815 |
|---|---|
| LBN Legal business name | Diaz, Luis Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 21st, 2007 |
| Last updated | Aug 20th, 2012 - about 13 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 | 1245436815 | NPPES |
| Mississippi | Other | 260367832 | TAX ID |
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