Odle, Micheal A

Odle, Micheal A is an individual health care provider with primary practice located at 2376 Cypress Cir Ste 102, Conway SC 29526-8964. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Odle, Micheal A can be contacted via phone (843) 347-8953.

Contact Information

Primary practice address
2376 Cypress Cir Ste 102 Conway SC 29526-8964
Phone: (843) 347-8953
Fax: (843) 347-0226
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 84064 South Carolina

Profile Details

NPI number 1386619369
LBN Legal business name Odle, Micheal A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Aug 9th, 2024 - about 2 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 1386619369 NPPES
South Carolina MEDICAID 840647

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