Proctor, Michael Wayne

Proctor, Michael Wayne is an individual health care provider with primary practice located at 1325 Quintard Ave , Anniston AL 36201-4619. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Proctor, Michael Wayne can be contacted via phone (256) 741-1339.

Contact Information

Primary practice address
1325 Quintard Ave Anniston AL 36201-4619
Fax: (256) 741-1356
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 00011525 Alabama

Profile Details

NPI number 1598828915
LBN Legal business name Proctor, Michael Wayne
Credentials MD,FAAFP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2006
Last updated Jul 8th, 2007 - about 17 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 1598828915 NPPES
Alabama Other 51509348 BLUE CROSS BLUE SHIELD

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