Diment, Michael T
Diment, Michael T is an individual health care provider with primary practice located at 770 Riverside Ave Suite 105, Adrian MI 49221-1476. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Diment, Michael T can be contacted via phone (517) 265-5230.Contact Information
Primary practice address
770 Riverside Ave Suite 105
Adrian MI 49221-1476
Phone: (517) 265-5230
Fax: (517) 265-1535
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 4301060984 | Michigan |
Profile Details
| NPI number | 1932168291 |
|---|---|
| LBN Legal business name | Diment, Michael T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Nov 3rd, 2023 - about 2 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 | 1932168291 | NPPES |
| Michigan | Other | 382372161 | TAX ID # |
| Michigan | Other | 0466751 | TAX ID # |
| Michigan | MEDICAID | 418031910 | TAX ID # |
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