Rivlin, Michel

Rivlin, Michel is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. Rivlin, Michel can be contacted via phone (601) 984-5373.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Phone: (601) 984-5373
Fax: (601) 984-5476
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 8037 Mississippi

Profile Details

NPI number 1902833429
LBN Legal business name Rivlin, Michel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Aug 14th, 2012 - about 13 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 1902833429 NPPES
Mississippi Other 512G700003 UP MEDICARE GROUP PROV#
Mississippi Other 512I160014 UP MEDICARE GROUP PROV#
Mississippi Other P00616899 UP MEDICARE GROUP PROV#
Mississippi MEDICAID 00016020 UP MEDICARE GROUP PROV#
Mississippi Other 08103071 UP MEDICARE GROUP PROV#
Mississippi Other 160039244 UP MEDICARE GROUP PROV#

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