Prudhomme, Michael B
Prudhomme, Michael B is an sole proprietor health care provider with primary practice located at 620 John Paul Jones Cir , Portsmouth VA 23708-2111. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Aerospace Medicine, Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Prudhomme, Michael B can be contacted via phone (928) 269-5657.Contact Information
Primary practice address
620 John Paul Jones Cir
Portsmouth VA 23708-2111
Phone: (928) 269-5657
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Aerospace Medicine | 2083A0100X | 01060410A | Indiana |
| Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine | 2083P0500X | 01060410A | Indiana |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 36179 | Arizona |
Profile Details
| NPI number | 1942365549 |
|---|---|
| LBN Legal business name | Prudhomme, Michael B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 26th, 2006 |
| Last updated | Oct 11th, 2022 - about 2 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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