Winniford, Michael D.

Winniford, Michael D. is an individual health care provider with primary practice located at 2500 North State Street Department Of Medicine/Division Of Cardiology, Jackson MS 39216-4500. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Winniford, Michael D. can be contacted via phone (601) 984-5630.

Contact Information

Primary practice address
2500 North State Street Department Of Medicine/Division Of Cardiology Jackson MS 39216-4500
Phone: (601) 984-5630
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 17665 Mississippi
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 17665 Mississippi

Profile Details

NPI number 1083647879
LBN Legal business name Winniford, Michael D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2006
Last updated Aug 26th, 2014 - about 12 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 1083647879 NPPES
Louisiana MEDICAID 1461351
Louisiana MEDICAID 0125909
Louisiana Other RR 060068580
Louisiana MEDICAID 126125

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