Blalock, Deborah Sue
Blalock, Deborah Sue is an sole proprietor health care provider with primary practice located at 10914 Hefner Pointe Dr Suite 304, Oklahoma City OK 73120. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Blalock, Deborah Sue can be contacted via phone (405) 608-2772.Contact Information
Primary practice address
10914 Hefner Pointe Dr Suite 304
Oklahoma City OK 73120
Phone: (405) 608-2772
Fax: (405) 608-2324
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 17054 | Oklahoma |
Profile Details
| NPI number | 1477592186 |
|---|---|
| LBN Legal business name | Blalock, Deborah Sue |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 6th, 2006 |
| Last updated | Oct 2nd, 2015 - about 10 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 | 1477592186 | NPPES |
| Oklahoma | MEDICAID | 100130200A |
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