Suminski, Michael Laurence

Suminski, Michael Laurence is an individual health care provider with primary practice located at 4802E Johnson Ave , Jonesboro AR 72401-8413. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Suminski, Michael Laurence can be contacted via phone (870) 936-8000.

Contact Information

Primary practice address
4802E Johnson Ave Jonesboro AR 72401-8413
Fax: (870) 934-3665
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X E2670 Arkansas
Allopathic & Osteopathic Physicians / Urology 208800000X E-2670 Arkansas

Profile Details

NPI number 1578606109
LBN Legal business name Suminski, Michael Laurence
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2007
Last updated Dec 3rd, 2015 - about 9 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 1578606109 NPPES
Arkansas MEDICAID 141365001

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