Mcdaniel, Michael David
Mcdaniel, Michael David is an sole proprietor health care provider with primary practice located at 501 Park Ave , Indianola MS 38751-2355. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Mcdaniel, Michael David can be contacted via phone (662) 887-1272.Contact Information
Primary practice address
501 Park Ave
Indianola MS 38751-2355
Phone: (662) 887-1272
Fax: (662) 887-6453
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 273893 | Mississippi |
Profile Details
| NPI number | 1417048182 |
|---|---|
| LBN Legal business name | Mcdaniel, Michael David |
| Credentials | D.M.D.P.A. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 27th, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1417048182 | NPPES |
| Mississippi | MEDICAID | 00660041 |
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