Carnahan, Michael W

Carnahan, Michael W is an individual health care provider with primary practice located at 1104 Walnut Dr , Ardmore OK 73401-2353. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Carnahan, Michael W can be contacted via phone (580) 226-0543.

Contact Information

Primary practice address
1104 Walnut Dr Ardmore OK 73401-2353
Fax: (580) 226-2284
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 16887 Oklahoma

Profile Details

NPI number 1871607903
LBN Legal business name Carnahan, Michael W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2006
Last updated Jul 9th, 2007 - about 19 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 1871607903 NPPES
Oklahoma MEDICAID 100131180A

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