Prudhomme, Michael B

Prudhomme, Michael B is an sole proprietor health care provider with primary practice located at 620 John Paul Jones Cir , Portsmouth VA 23708-2111. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Aerospace Medicine, Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Prudhomme, Michael B can be contacted via phone (928) 269-5657.

Contact Information

Primary practice address
620 John Paul Jones Cir Portsmouth VA 23708-2111
Phone: (928) 269-5657
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Aerospace Medicine 2083A0100X 01060410A Indiana
Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine 2083P0500X 01060410A Indiana
Allopathic & Osteopathic Physicians / General Practice 208D00000X 36179 Arizona

Profile Details

NPI number 1942365549
LBN Legal business name Prudhomme, Michael B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 26th, 2006
Last updated Oct 11th, 2022 - about 4 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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