Birdsong, Mark Allen

Birdsong, Mark Allen is an individual health care provider with primary practice located at 10512 N 110Th East Ave Suite 240, Owasso OK 74055-6636. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Birdsong, Mark Allen can be contacted via phone (918) 212-1200.

Contact Information

Primary practice address
10512 N 110Th East Ave Suite 240 Owasso OK 74055-6636
Phone: (918) 212-1200
Fax: (918) 212-1201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 94-05976 Kansas
Allopathic & Osteopathic Physicians / Surgery 208600000X 26563 Oklahoma

Profile Details

NPI number 1295857167
LBN Legal business name Birdsong, Mark Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2007
Last updated Jun 24th, 2014 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295857167 NPPES
Oklahoma MEDICAID 200203050A

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