Carrico, George B

Carrico, George B is an individual health care provider with primary practice located at 1923 S Utica Ave , Tulsa OK 74104-6520. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Carrico, George B can be contacted via phone (918) 744-3528.

Contact Information

Primary practice address
1923 S Utica Ave Tulsa OK 74104-6520
Fax: (918) 744-3529
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 13635 Oklahoma

Profile Details

NPI number 1871583625
LBN Legal business name Carrico, George B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Apr 14th, 2010 - about 14 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 1871583625 NPPES
Oklahoma MEDICAID 100076250B

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