Duckworth, Michael R
Duckworth, Michael R is an sole proprietor health care provider with primary practice located at 2225 5Th St N , Columbus MS 39705-2211. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Duckworth, Michael R can be contacted via phone (662) 327-0197.Contact Information
Primary practice address
2225 5Th St N
Columbus MS 39705-2211
Phone: (662) 327-0197
Fax: (662) 327-5660
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 07299 | Mississippi |
Profile Details
| NPI number | 1083682934 |
|---|---|
| LBN Legal business name | Duckworth, Michael R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 8th, 2006 |
| Last updated | Oct 17th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083682934 | NPPES |
| Mississippi | MEDICAID | 00121379 |
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