Laurie, Michael A
Laurie, Michael A is an individual health care provider with primary practice located at 4010 Aerial Way , Eugene OR 97402-9757. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Laurie, Michael A can be contacted via phone (541) 687-6349.Contact Information
Primary practice address
4010 Aerial Way
Eugene OR 97402-9757
Phone: (541) 687-6349
Fax: (541) 242-8361
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD19654 | Oregon |
Profile Details
| NPI number | 1619944022 |
|---|---|
| LBN Legal business name | Laurie, Michael A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 3rd, 2006 |
| Last updated | Nov 23rd, 2009 - about 16 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 | 1619944022 | NPPES |
| Oregon | MEDICAID | 077907 |
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