Guzman, Michael J
Guzman, Michael J is an individual health care provider with primary practice located at 720 Eskenazi Ave , Indianapolis IN 46202-5187. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. Guzman, Michael J can be contacted via phone (317) 880-4206.Contact Information
Primary practice address
720 Eskenazi Ave
Indianapolis IN 46202-5187
Phone: (317) 880-4206
Fax: (317) 880-0557
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 01068934A | Indiana |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 036134991 | Illinois |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 01068934A | Indiana |
| Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | 01068934A | Indiana |
Profile Details
| NPI number | 1821251307 |
|---|---|
| LBN Legal business name | Guzman, Michael J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2008 |
| Last updated | Jan 18th, 2021 - about 5 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 | 1821251307 | NPPES |
| Indiana | MEDICAID | 201105520 |
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