Roundy, Michael S
Roundy, Michael S is an individual health care provider with primary practice located at 630 Medical Dr , Bountiful UT 84010-4908. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Roundy, Michael S can be contacted via phone (801) 299-3781.Contact Information
Primary practice address
630 Medical Dr
Bountiful UT 84010-4908
Phone: (801) 299-3781
Fax: (201) 299-2416
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 5349062 8905 | California |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 5349062-1205 | Utah |
Profile Details
| NPI number | 1255366696 |
|---|---|
| LBN Legal business name | Roundy, Michael S |
| Credentials | PHYSICIAN SURGEON |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2006 |
| Last updated | Oct 31st, 2013 - about 13 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 | 1255366696 | NPPES |
| Other | 260022408 | RAILROAD MEDICARE | |
| MEDICAID | 876000308007 | RAILROAD MEDICARE |
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