Pursley, Michael S

Pursley, Michael S is an individual health care provider with primary practice located at 150 S Ingleside St 4 Medical Park, Fairhope AL 36532-1803. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Pursley, Michael S can be contacted via phone (251) 990-1920.

Contact Information

Primary practice address
150 S Ingleside St 4 Medical Park Fairhope AL 36532-1803
Fax: (251) 990-1921
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 25610 Alabama

Profile Details

NPI number 1467430777
LBN Legal business name Pursley, Michael S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2006
Last updated Feb 10th, 2015 - about 10 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 1467430777 NPPES
Alabama MEDICAID 009936433
Alabama MEDICAID 051554382
Alabama Other 1609095157
Alabama MEDICAID 05538519
Alabama Other 1467430777
Alabama Other K814
Alabama MEDICAID 009936436
Alabama MEDICAID 009936467
Alabama MEDICAID 009936434

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