Callery, Earl Michael
Callery, Earl Michael is an individual health care provider with primary practice located at 9245 S Mingo Rd , Tulsa OK 74133-5793. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Callery, Earl Michael can be contacted via phone (918) 574-0250.Contact Information
Primary practice address
9245 S Mingo Rd
Tulsa OK 74133-5793
Phone: (918) 574-0250
Fax: (918) 574-0259
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 1865 | Oklahoma |
Profile Details
| NPI number | 1639229198 |
|---|---|
| LBN Legal business name | Callery, Earl Michael |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 10th, 2007 |
| Last updated | Apr 22nd, 2016 - about 9 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 | 1639229198 | NPPES |
| Oklahoma | MEDICAID | 100255830A |
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