Oakley, Michael Robert

Oakley, Michael Robert is an individual health care provider with primary practice located at 305 Main Street , Ogdensburg NY 13669. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Oakley, Michael Robert can be contacted via phone (315) 393-2611.

Contact Information

Primary practice address
305 Main Street Ogdensburg NY 13669
Phone: (315) 393-2611
Fax: (315) 393-2633
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Surgery 208600000X 283259 New York

Profile Details

NPI number 1174813836
LBN Legal business name Oakley, Michael Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2011
Last updated Jul 21st, 2022 - about 2 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 1174813836 NPPES
New York MEDICAID 04381077

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