Legacy, Michael

Legacy, Michael is an sole proprietor health care provider with primary practice located at 2799 W Grand Blvd , Detroit MI 48202-2608. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Legacy, Michael can be contacted via phone (313) 916-7952.

Contact Information

Primary practice address
2799 W Grand Blvd Detroit MI 48202-2608
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X 5101026139 Michigan
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 5101026139 Michigan

Profile Details

NPI number 1831545953
LBN Legal business name Legacy, Michael
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 7th, 2016
Last updated Dec 6th, 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.

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