Sughrue, Michael Edward
Sughrue, Michael Edward is an individual health care provider with primary practice located at 1001 Willow Creek Rd Ste 3300 , Prescott AZ 86301-1614. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Sughrue, Michael Edward can be contacted via phone (928) 458-2996.Contact Information
Primary practice address
1001 Willow Creek Rd Ste 3300
Prescott AZ 86301-1614
Phone: (928) 458-2996
Fax: (928) 458-2135
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | A99843 | California |
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 69579 | Arizona |
Profile Details
| NPI number | 1497977359 |
|---|---|
| LBN Legal business name | Sughrue, Michael Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2007 |
| Last updated | Feb 10th, 2025 - about last year |
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 | 1497977359 | NPPES |
| Arizona | MEDICAID | 175333 |
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