Pankratz, Michael Joseph

Pankratz, Michael Joseph is an individual health care provider with primary practice located at 3135 Middle Road , Columbus IN 47203-4472. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Pankratz, Michael Joseph can be contacted via phone (812) 373-7777.

Contact Information

Primary practice address
3135 Middle Road Columbus IN 47203-4472
Phone: (812) 373-7777
Fax: (812) 373-0772
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 01051787A Indiana

Profile Details

NPI number 1043265093
LBN Legal business name Pankratz, Michael Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Jul 22nd, 2009 - about 16 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 1043265093 NPPES
Indiana MEDICAID 200281200A

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