Spain, Michael Gene
Spain, Michael Gene is an individual health care provider with primary practice located at 300 Rockefeller Dr , Muskogee OK 74401-5075. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Spain, Michael Gene can be contacted via phone (918) 494-8500.Contact Information
Primary practice address
300 Rockefeller Dr
Muskogee OK 74401-5075
Phone: (918) 494-8500
Fax: (918) 307-5578
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 14359 | Oklahoma |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 14359 | Oklahoma |
Profile Details
| NPI number | 1952357733 |
|---|---|
| LBN Legal business name | Spain, Michael Gene |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2006 |
| Last updated | Jun 14th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952357733 | NPPES |
| Oklahoma | Other | P00409641 | RAILROAD MEDICARE |
| Oklahoma | MEDICAID | 100 136 250 B | RAILROAD MEDICARE |
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