Luttrell, Michael S
Luttrell, Michael S is an individual health care provider with primary practice located at 101 Professional Park Ste A , Oxford NC 27565-2580. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Luttrell, Michael S can be contacted via phone (919) 693-3972.Contact Information
Primary practice address
101 Professional Park Ste A
Oxford NC 27565-2580
Phone: (919) 693-3972
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 201861 | North Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 122695 | Wisconsin |
Profile Details
| NPI number | 1851531800 |
|---|---|
| LBN Legal business name | Luttrell, Michael S |
| Credentials | NP, PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 4th, 2009 |
| Last updated | Aug 5th, 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 | 1851531800 | NPPES |
| Wisconsin | Other | 500002725 | MEDICARE RAILROAD |
| Wisconsin | MEDICAID | 43845100 | MEDICARE RAILROAD |
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