Miranda, Michael Anthony
Miranda, Michael Anthony is an sole proprietor health care provider with primary practice located at 111 Founders Plz #300 C/O Ipms, East Hartford CT 06108-3212. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Miranda, Michael Anthony can be contacted via phone (860) 282-4137.Contact Information
Primary practice address
111 Founders Plz #300 C/O Ipms
East Hartford CT 06108-3212
Phone: (860) 282-4137
Fax: (860) 282-0170
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 037329 | Connecticut |
Profile Details
| NPI number | 1114914553 |
|---|---|
| LBN Legal business name | Miranda, Michael Anthony |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 30th, 2005 |
| Last updated | Apr 17th, 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 | 1114914553 | NPPES |
| Connecticut | MEDICAID | 001373290 |
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