Guzman, Michael J

Guzman, Michael J is an individual health care provider with primary practice located at 720 Eskenazi Ave , Indianapolis IN 46202-5187. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. Guzman, Michael J can be contacted via phone (317) 880-4206.

Contact Information

Primary practice address
720 Eskenazi Ave Indianapolis IN 46202-5187
Phone: (317) 880-4206
Fax: (317) 880-0557
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 01068934A Indiana
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 036134991 Illinois
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 01068934A Indiana
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 01068934A Indiana

Profile Details

NPI number 1821251307
LBN Legal business name Guzman, Michael J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2008
Last updated Jan 18th, 2021 - about 3 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 1821251307 NPPES
Indiana MEDICAID 201105520

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