Cunningham, Michael Cullen

Cunningham, Michael Cullen is an individual health care provider with primary practice located at 1720A Medical Park Dr Suite 340, Biloxi MS 39532-2129. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Cunningham, Michael Cullen can be contacted via phone (228) 392-7429.

Contact Information

Primary practice address
1720A Medical Park Dr Suite 340 Biloxi MS 39532-2129
Phone: (228) 392-7429
Fax: (228) 396-3830
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 19714 Mississippi
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X MD.15474R Louisiana

Profile Details

NPI number 1821219106
LBN Legal business name Cunningham, Michael Cullen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2007
Last updated Jan 14th, 2010 - about 16 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 1821219106 NPPES
Mississippi MEDICAID 08806571
Mississippi Other 7461908
Mississippi Other P00630623
Mississippi MEDICAID 1067156

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