Ingram, Michael T

Ingram, Michael T is an individual health care provider with primary practice located at 2800 L St Fl 6 , Sacramento CA 95816-5616. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Ingram, Michael T can be contacted via phone (916) 887-4845.

Contact Information

Primary practice address
2800 L St Fl 6 Sacramento CA 95816-5616
Phone: (916) 887-4845
Fax: (916) 887-4075
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X G42531 California

Profile Details

NPI number 1699773788
LBN Legal business name Ingram, Michael T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Oct 31st, 2019 - about 6 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 1699773788 NPPES
Other 94-1688832 TAX ID
MEDICAID GR0046820 TAX ID
Other G42531 TAX ID

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