Michael, Ronald
Michael, Ronald is an individual health care provider with primary practice located at 3725 Champion Hills Dr Ste 2400 , Memphis TN 38125-8000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Michael, Ronald can be contacted via phone (901) 367-9001.Contact Information
Primary practice address
3725 Champion Hills Dr Ste 2400
Memphis TN 38125-8000
Phone: (901) 367-9001
Fax: (901) 565-8787
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 21690 | Tennessee |
Profile Details
| NPI number | 1710915061 |
|---|---|
| LBN Legal business name | Michael, Ronald |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2006 |
| Last updated | Apr 29th, 2024 - about 2 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 | 1710915061 | NPPES |
| Tennessee | Other | 4308326 | BCBS |
| Tennessee | Other | P01003586 | BCBS |
| Tennessee | MEDICAID | 00121961 | BCBS |
| Tennessee | MEDICAID | Q007334 | BCBS |
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