Loiacono, Michael P

Loiacono, Michael P is an individual health care provider with primary practice located at 207 Elk Ave S , Fayetteville TN 37334-3051. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Loiacono, Michael P can be contacted via phone (931) 433-2551.

Contact Information

Primary practice address
207 Elk Ave S Fayetteville TN 37334-3051
Phone: (931) 433-2551
Fax: (931) 438-0069
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036073847 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 61355 Tennessee

Profile Details

NPI number 1568566156
LBN Legal business name Loiacono, Michael P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2006
Last updated Aug 26th, 2020 - 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 1568566156 NPPES
Illinois MEDICAID 036073847

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