Sumner, Michael Benjamin

Sumner, Michael Benjamin is an individual health care provider with primary practice located at 390 Salem Heights Ave S , Salem OR 97302-5609. He recently has only one registered license in Other Service Providers / Mechanotherapist, which is considered as his primary health care specialty. Sumner, Michael Benjamin can be contacted via phone (503) 371-1901.

Contact Information

Primary practice address
390 Salem Heights Ave S Salem OR 97302-5609
Phone: (503) 371-1901
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Mechanotherapist 172M00000X 10763 Oregon

Profile Details

NPI number 1598970550
LBN Legal business name Sumner, Michael Benjamin
Credentials LMT
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2007
Last updated Jul 8th, 2007 - about 19 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 1598970550 NPPES
Oregon Other 10763 LMT LISENCE

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