Eagle, Storm Michael

Eagle, Storm Michael is an individual health care provider with primary practice located at 303 Se 4Th St , Moore OK 73160-6709. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Eagle, Storm Michael can be contacted via phone (405) 515-0530.

Contact Information

Primary practice address
303 Se 4Th St Moore OK 73160-6709
Phone: (405) 515-0530
Fax: (405) 307-5651
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 72469 Oklahoma

Profile Details

NPI number 1649607383
LBN Legal business name Eagle, Storm Michael
Credentials APRN-CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2013
Last updated Jun 30th, 2021 - about 4 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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