Mount, Michael T

Mount, Michael T is an individual health care provider with primary practice located at 2119 E South Blvd #200, Montgomery AL 36116-2495. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Mount, Michael T can be contacted via phone (334) 613-9000.

Contact Information

Primary practice address
2119 E South Blvd #200 Montgomery AL 36116-2495
Phone: (334) 613-9000
Fax: (334) 286-6311
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA320 Alabama

Profile Details

NPI number 1386604403
LBN Legal business name Mount, Michael T
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Aug 12th, 2009 - about 16 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 1386604403 NPPES
Other 970027632 RAILROAD MEDICARE
Other 51512941MOU RAILROAD MEDICARE
MEDICAID 051552391 RAILROAD MEDICARE

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