Diaz, Michael J
Diaz, Michael J is an individual health care provider with primary practice located at 14231 Seaway Rd Ste 5003 , Gulfport MS 39503-4660. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Diaz, Michael J can be contacted via phone (228) 864-4392.Contact Information
Primary practice address
14231 Seaway Rd Ste 5003
Gulfport MS 39503-4660
Phone: (228) 864-4392
Fax: (228) 868-7103
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 13433 | Mississippi |
Profile Details
NPI number | 1780685578 |
---|---|
LBN Legal business name | Diaz, Michael J |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 3rd, 2005 |
Last updated | Nov 3rd, 2017 - about 7 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 | 1780685578 | NPPES |
Mississippi | MEDICAID | 00155062 |
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