Hart, Michael

Hart, Michael is an individual health care provider with primary practice located at 102 Highland Ave Se Suite 305, Roanoke VA 24013-2256. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Gastroenterology. Allopathic & Osteopathic Physicians / Pediatric Gastroenterology is his primary health care specialty. Hart, Michael can be contacted via phone (540) 985-9832.

Contact Information

Primary practice address
102 Highland Ave Se Suite 305 Roanoke VA 24013-2256
Phone: (540) 985-9832
Fax: (540) 224-4421
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101-057411 Virginia
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 0101-057411 Virginia

Profile Details

NPI number 1477525723
LBN Legal business name Hart, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Aug 16th, 2011 - about 15 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 1477525723 NPPES
Virginia MEDICAID 1477525723
Virginia MEDICAID 6701477
Virginia MEDICAID 010097037
Virginia MEDICAID 010378567

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