Smith, Michael S.
Smith, Michael S. is an sole proprietor health care provider with primary practice located at 1118 W Broadway St , Muskogee OK 74401-6246. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Smith, Michael S. can be contacted via phone (918) 681-4646.Contact Information
Primary practice address
1118 W Broadway St
Muskogee OK 74401-6246
Phone: (918) 681-4646
Fax: (918) 684-9023
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R0035256 | Oklahoma |
Profile Details
| NPI number | 1104816602 |
|---|---|
| LBN Legal business name | Smith, Michael S. |
| Credentials | A.R.N.P. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 26th, 2005 |
| Last updated | Apr 14th, 2008 - about 16 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 | 1104816602 | NPPES |
| Oklahoma | MEDICAID | 100218890A |
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