Richardson, Michael Shane
Richardson, Michael Shane is an individual health care provider with primary practice located at 7521 Se 15Th St , Midwest City OK 73110-5425. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Richardson, Michael Shane can be contacted via phone (405) 453-8004.Contact Information
Primary practice address
7521 Se 15Th St
Midwest City OK 73110-5425
Phone: (405) 453-8004
Fax: (405) 561-4857
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 1615 | Oklahoma |
Profile Details
| NPI number | 1225179849 |
|---|---|
| LBN Legal business name | Richardson, Michael Shane |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2007 |
| Last updated | Mar 21st, 2022 - about 4 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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