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
Phone: (256) 741-1339
Fax: (256) 741-1356
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1598828915 | NPPES |
Alabama | Other | 51509348 | BLUE CROSS BLUE SHIELD |
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