Mount, Michael G

Mount, Michael G is an individual health care provider with primary practice located at 853 N Church St Ste 500 , Spartanburg SC 29303-3077. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Mount, Michael G can be contacted via phone (864) 560-1576.

Contact Information

Primary practice address
853 N Church St Ste 500 Spartanburg SC 29303-3077
Fax: (864) 560-1590
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 34.011731 Ohio
Allopathic & Osteopathic Physicians / Surgery 208600000X 1287 South Carolina
Allopathic & Osteopathic Physicians / Surgery 208600000X LL1287 South Carolina
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 1287 South Carolina

Profile Details

NPI number 1043441736
LBN Legal business name Mount, Michael G
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2009
Last updated Jan 27th, 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 1043441736 NPPES
South Carolina Other SCB2483365 MEDICARE PIN
South Carolina MEDICAID 0130299 MEDICARE PIN
South Carolina MEDICAID 012872 MEDICARE PIN

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