Killough, Michael Don
Killough, Michael Don is an sole proprietor health care provider with primary practice located at 1801 Red Wolf Blvd Suite 101, Jonesboro AR 72401-5450. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Killough, Michael Don can be contacted via phone (870) 910-5493.Contact Information
Primary practice address
1801 Red Wolf Blvd Suite 101
Jonesboro AR 72401-5450
Phone: (870) 910-5493
Fax: (870) 336-1775
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2528 | Arkansas |
Profile Details
| NPI number | 1306942503 |
|---|---|
| LBN Legal business name | Killough, Michael Don |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 15th, 2006 |
| Last updated | Sep 4th, 2015 - about 10 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 | 1306942503 | NPPES |
| Arkansas | Other | 49893 | ABCBS |
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