Anderson, Michael Davis

Anderson, Michael Davis is an sole proprietor health care provider with primary practice located at 4440 W 95Th St Emergency Department, Oak Lawn IL 60453-2600. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Anderson, Michael Davis can be contacted via phone (708) 684-5375.

Contact Information

Primary practice address
4440 W 95Th St Emergency Department Oak Lawn IL 60453-2600
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036119930 Illinois

Profile Details

NPI number 1619149374
LBN Legal business name Anderson, Michael Davis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 2nd, 2008
Last updated Dec 17th, 2021 - 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.

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