Dye, Michael Wayne

Dye, Michael Wayne is an individual health care provider with primary practice located at 620 W Edison Rd Ste 110, Mishawaka IN 46545-2784. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Dye, Michael Wayne can be contacted via phone (574) 258-1100.

Contact Information

Primary practice address
620 W Edison Rd Ste 110 Mishawaka IN 46545-2784
Phone: (574) 258-1100
Fax: (574) 258-1101
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 01069365A Indiana
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 01069365 Indiana

Profile Details

NPI number 1205057635
LBN Legal business name Dye, Michael Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2007
Last updated Jul 10th, 2013 - about 11 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 1205057635 NPPES
Indiana MEDICAID 201020750

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