Brown, Douglas Randall

Brown, Douglas Randall is an sole proprietor health care provider with primary practice located at 727 E Wyandotte Ave , Mcalester OK 74501-5451. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Brown, Douglas Randall can be contacted via phone (918) 426-2442.

Contact Information

Primary practice address
727 E Wyandotte Ave Mcalester OK 74501-5451
Fax: (918) 426-0050
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 20645 Oklahoma

Profile Details

NPI number 1750325015
LBN Legal business name Brown, Douglas Randall
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2006
Last updated Apr 17th, 2015 - about 9 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 1750325015 NPPES
Oklahoma MEDICAID 100146180C

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