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
Phone: (708) 684-5375
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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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