MICHAEL L SQUIRE, MD, Diagnostic Radiology JONES, OK

Contact Information

MICHAEL L SQUIRE, MD

2624 RIDGEWAY CIR
JONES, OK 73049-4971

Phone: 630-297-5302
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Diagnostic Radiology	2085R0202X	30	Physician/Diagnostic Radiology
Body Imaging	2085B0100X
Vascular & Interventional Radiology	2085R0204X	94	Physician/Interventional Radiology

Indicates primary specialty

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NPI Profile & details for MICHAEL L SQUIRE · (Male)

NPI Number	`1356592943`
Status	Active
Credentials	MD
Entity	Individual
Enumeration date	10/01/2008
Last updated	09/25/2023 - About 3 years ago
Sole proprietor ¹	No
Identifiers	GA License # 072452 ID License # M-13157 WA License # MD60461265 ID Medicaid 1356592943 WA Medicaid 2044272 WA Other 0353472 L&I-EVERGREEN RADIA WA Other 0353469 L&I-RADIA KING CTY WA Other 0353429 L&I-RADIA REST OF WA WA Other 0405139 L&I-SEATTLE RADIOLOGY WA Other 0385157 L&I-SOUTH SOUND RADIOLOGY WA Other 0353470 L&I-SWEDISH RADIA EDMONDS
Hospital affiliation(s)	CENTRAL WASHINGTON HOSPITAL - (Acute Care) 1201 SOUTH MILLER STREET WENATCHEE, WA 98807 EVERGREEN HOSPITAL MEDICAL CENTER - (Acute Care) 12040 NE 128TH STREET KIRKLAND, WA 98034 JEFFERSON HEALTHCARE HOSPITAL - (Critical Access) 834 SHERIDAN STREET PORT TOWNSEND, WA 98368 NORTHWEST SPECIALTY HOSPITAL - (Acute Care) 1593 EAST POLSTON AVENUE POST FALLS, ID 83854 PROVIDENCE REGIONAL MEDICAL CENTER EVERETT - (Acute Care) 1321 COLBY AVENUE EVERETT, WA 98201

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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