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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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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