Suminski, Michael Laurence
Suminski, Michael Laurence is an individual health care provider with primary practice located at 4802E Johnson Ave , Jonesboro AR 72401-8413. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Suminski, Michael Laurence can be contacted via phone (870) 936-8000.Contact Information
Primary practice address
4802E Johnson Ave
Jonesboro AR 72401-8413
Phone: (870) 936-8000
Fax: (870) 934-3665
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | E2670 | Arkansas |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | E-2670 | Arkansas |
Profile Details
| NPI number | 1578606109 |
|---|---|
| LBN Legal business name | Suminski, Michael Laurence |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2007 |
| Last updated | Dec 3rd, 2015 - about 11 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 | 1578606109 | NPPES |
| Arkansas | MEDICAID | 141365001 |
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