Bryan, Philip Clay
Bryan, Philip Clay is an sole proprietor health care provider with primary practice located at 1000 N Lee Ave , Oklahoma City OK 73102-1036. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Other Service Providers / Specialist. Other Service Providers / Specialist is his primary health care specialty. Bryan, Philip Clay can be contacted via phone (405) 340-2346.Contact Information
Primary practice address
1000 N Lee Ave
Oklahoma City OK 73102-1036
Phone: (405) 340-2346
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 9273 | Oklahoma |
| Other Service Providers / Specialist | 174400000X | 9273 | Oklahoma |
Profile Details
| NPI number | 1104828359 |
|---|---|
| LBN Legal business name | Bryan, Philip Clay |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 1st, 2005 |
| Last updated | May 6th, 2024 - about 7 months 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 | 1104828359 | NPPES |
| Oklahoma | MEDICAID | 100000560A |
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