Pittman, Michelle Antoinette

Pittman, Michelle Antoinette is an sole proprietor health care provider with primary practice located at 777 Jordan Dr , Monticello AR 71655-5719. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Critical Care, which is considered as her primary health care specialty. Pittman, Michelle Antoinette can be contacted via phone (318) 990-0060.

Contact Information

Primary practice address
777 Jordan Dr Monticello AR 71655-5719
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X E-8990 Arkansas

Profile Details

NPI number 1740460351
LBN Legal business name Pittman, Michelle Antoinette
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 12th, 2007
Last updated Dec 14th, 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 1740460351 NPPES
Louisiana MEDICAID 1041611

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