Giovan, Michael P

Giovan, Michael P is an individual health care provider with primary practice located at 3101 Arlington St # B , Ada OK 74820-3085. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Giovan, Michael P can be contacted via phone (580) 332-9100.

Contact Information

Primary practice address
3101 Arlington St # B Ada OK 74820-3085
Phone: (580) 332-9100
Fax: (580) 332-8554
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X A96277 California
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 18515 New Hampshire
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 31746 Oklahoma

Profile Details

NPI number 1427077064
LBN Legal business name Giovan, Michael P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Oct 11th, 2022 - about 3 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 1427077064 NPPES
California Other 00A962770 BLUE SHIELD
California MEDICAID 3072701 BLUE SHIELD

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