Renicks, Michael

Renicks, Michael is an individual health care provider with primary practice located at 3109 Bienville Blvd , Ocean Springs MS 39564-4361. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Renicks, Michael can be contacted via phone (228) 818-1111.

Contact Information

Primary practice address
3109 Bienville Blvd Ocean Springs MS 39564-4361
Phone: (228) 818-1111
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MS13095 Mississippi

Profile Details

NPI number 1144371725
LBN Legal business name Renicks, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2007
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 1144371725 NPPES
Mississippi MEDICAID 00113599
Mississippi MEDICAID 009928125
Mississippi Other 930048428
Mississippi Other 646000515
Mississippi Other 646000515

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