Okumura, Michael T

Okumura, Michael T is an individual health care provider with primary practice located at 10499 N 48Th St , Augusta MI 49012-9500. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Okumura, Michael T can be contacted via phone (269) 282-7700.

Contact Information

Primary practice address
10499 N 48Th St Augusta MI 49012-9500
Phone: (269) 282-7700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 4301076050 Michigan
Allopathic & Osteopathic Physicians / Addiction Medicine 207LA0401X 4301076050 Michigan
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 4301076050 Michigan

Profile Details

NPI number 1720006224
LBN Legal business name Okumura, Michael T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Aug 24th, 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 1720006224 NPPES
Tennessee MEDICAID PENDING

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