Osmundson, Michael

Osmundson, Michael is an individual health care provider with primary practice located at 4700 Waters Ave , Savannah GA 31404-6220. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Osmundson, Michael can be contacted via phone (912) 350-3849.

Contact Information

Primary practice address
4700 Waters Ave Savannah GA 31404-6220
Phone: (912) 350-3849
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 49520 Georgia

Profile Details

NPI number 1356394654
LBN Legal business name Osmundson, Michael
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Mar 7th, 2023 - about last year

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 1356394654 NPPES
Georgia Other 10064445 AMERIGROUP
Georgia Other N362158 AMERIGROUP
Georgia Other 196100 AMERIGROUP
Georgia MEDICAID G49520 AMERIGROUP
Georgia MEDICAID 963738113A AMERIGROUP
Georgia Other 963738113A AMERIGROUP

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