Anderson, Shawn Michael

Anderson, Shawn Michael is an individual health care provider with primary practice located at 700 S Main St , Grove OK 74344-2841. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Anderson, Shawn Michael can be contacted via phone (918) 786-2243.

Contact Information

Primary practice address
700 S Main St Grove OK 74344-2841
Phone: (918) 786-2243
Fax: (918) 787-3643
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 22018 Oklahoma
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E-14312 Arkansas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 22018 Oklahoma

Profile Details

NPI number 1598725111
LBN Legal business name Anderson, Shawn Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Apr 14th, 2023 - about 2 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 1598725111 NPPES
Oklahoma MEDICAID 100114040A
Oklahoma MEDICAID 200264400A
Oklahoma MEDICAID 207446204
Oklahoma MEDICAID 200059690A

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