Scalf, Michael Shawn

Scalf, Michael Shawn is an individual health care provider with primary practice located at 6161 S Yale Ave , Tulsa OK 74136-1902. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Scalf, Michael Shawn can be contacted via phone (918) 494-1805.

Contact Information

Primary practice address
6161 S Yale Ave Tulsa OK 74136-1902
Phone: (918) 494-1805
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1210 Oklahoma

Profile Details

NPI number 1578544573
LBN Legal business name Scalf, Michael Shawn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Apr 24th, 2020 - about 6 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 1578544573 NPPES
Oklahoma MEDICAID 200034250A

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