Foley, Michael Gillian
Foley, Michael Gillian is an sole proprietor health care provider with primary practice located at 524 W James Lee Blvd , Crestview FL 32536-5129. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Foley, Michael Gillian can be contacted via phone (850) 682-6143.Contact Information
Primary practice address
524 W James Lee Blvd
Crestview FL 32536-5129
Phone: (850) 682-6143
Fax: (850) 682-0227
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME0031078 | Florida |
Profile Details
| NPI number | 1598766180 |
|---|---|
| LBN Legal business name | Foley, Michael Gillian |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 3rd, 2005 |
| Last updated | Dec 14th, 2009 - about 15 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 | 1598766180 | NPPES |
| Florida | MEDICAID | 59459800 | |
| Florida | Other | 46122 |
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