Miceli, Mathew

Miceli, Mathew is an sole proprietor health care provider with primary practice located at 105 Us Highway 80 E , Demopolis AL 36732-3605. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Miceli, Mathew can be contacted via phone (334) 287-2647.

Contact Information

Primary practice address
105 Us Highway 80 E Demopolis AL 36732-3605
Phone: (334) 287-2647
Fax: (334) 287-2405
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 20438 Mississippi
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 31266 Alabama

Profile Details

NPI number 1447210745
LBN Legal business name Miceli, Mathew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 23rd, 2006
Last updated Feb 27th, 2015 - about 10 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 1447210745 NPPES
Mississippi MEDICAID 02124094

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