Charles, Michael S

Charles, Michael S is an individual health care provider with primary practice located at 1919 S Wheeling Ave Ste 606, Tulsa OK 74104-5635. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Charles, Michael S can be contacted via phone (918) 748-7676.

Contact Information

Primary practice address
1919 S Wheeling Ave Ste 606 Tulsa OK 74104-5635
Phone: (918) 748-7676
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X H5534 Texas
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 28445 Oklahoma

Profile Details

NPI number 1942293097
LBN Legal business name Charles, Michael S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Nov 10th, 2017 - about 7 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 1942293097 NPPES
Texas MEDICAID 123647301

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