O'Donnell, Sherrell A

O'Donnell, Sherrell A is an individual health care provider with primary practice located at 3911 Stonegate Park Drive , Saint Joseph MI 49085-8623. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. O'Donnell, Sherrell A can be contacted via phone (269) 408-1777.

Contact Information

Primary practice address
3911 Stonegate Park Drive Saint Joseph MI 49085-8623
Fax: (269) 408-1755
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 5101014079 Michigan

Profile Details

NPI number 1699771725
LBN Legal business name O'Donnell, Sherrell A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Jun 4th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1699771725 NPPES
Michigan MEDICAID 4507301

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