Norville, Michael Raymond
Norville, Michael Raymond is an individual health care provider with primary practice located at 1025 New Moody Ln , La Grange KY 40031-9154. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Norville, Michael Raymond can be contacted via phone (502) 222-8586.Contact Information
Primary practice address
1025 New Moody Ln
La Grange KY 40031-9154
Phone: (502) 222-8586
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 04906 | Kentucky |
Profile Details
| NPI number | 1316438112 |
|---|---|
| LBN Legal business name | Norville, Michael Raymond |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 29th, 2018 |
| Last updated | Mar 7th, 2023 - about 3 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 | 1316438112 | NPPES |
| Kentucky | MEDICAID | 7100744060 |
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