Mccauley, Michael G

Mccauley, Michael G is an individual health care provider with primary practice located at 2410 N Commerce , Ardmore OK 73401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Mccauley, Michael G can be contacted via phone (580) 276-0812.

Contact Information

Primary practice address
2410 N Commerce Ardmore OK 73401
Fax: (580) 226-0820
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 13050 Oklahoma

Profile Details

NPI number 1497791578
LBN Legal business name Mccauley, Michael G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Sep 24th, 2012 - about 14 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 1497791578 NPPES
Oklahoma MEDICAID 100163880A

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