Shrock, Michael B.

Shrock, Michael B. is an individual health care provider with primary practice located at 1056 Holland Ave , Philadelphia MS 39350-9121. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Shrock, Michael B. can be contacted via phone (601) 656-8545.

Contact Information

Primary practice address
1056 Holland Ave Philadelphia MS 39350-9121
Phone: (601) 656-8545
Fax: (601) 656-3985
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 11315 Mississippi

Profile Details

NPI number 1578545968
LBN Legal business name Shrock, Michael B.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2005
Last updated Nov 9th, 2012 - about 14 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 1578545968 NPPES
Other 080105518 RAILROAD MEDICARE
MEDICAID 00113242 RAILROAD MEDICARE

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