Ennis, Michael F

Ennis, Michael F is an individual health care provider with primary practice located at 5200 Centre Ave Suite 312, Pittsburgh PA 15232-1300. He recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as his primary health care specialty. Ennis, Michael F can be contacted via phone (412) 621-7777.

Contact Information

Primary practice address
5200 Centre Ave Suite 312 Pittsburgh PA 15232-1300
Phone: (412) 621-7777
Fax: (412) 683-8698
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X MD015837E Pennsylvania

Profile Details

NPI number 1639160054
LBN Legal business name Ennis, Michael F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Jul 8th, 2007 - about 18 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 1639160054 NPPES
Pennsylvania MEDICAID 0885549

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