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
Phone: (269) 408-1777
Fax: (269) 408-1755
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1699771725 | NPPES |
Michigan | MEDICAID | 4507301 |
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