Carter, Marie Judith

Carter, Marie Judith is an individual health care provider with primary practice located at 11401 S Western Ave , Oklahoma City OK 73170-5819. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / General Practice is her primary health care specialty. Carter, Marie Judith can be contacted via phone (405) 735-3041.

Contact Information

Primary practice address
11401 S Western Ave Oklahoma City OK 73170-5819
Fax: (405) 735-3146
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 3450 Oklahoma
Allopathic & Osteopathic Physicians / Surgery 208600000X 3450 Oklahoma

Profile Details

NPI number 1508894338
LBN Legal business name Carter, Marie Judith
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Mar 12th, 2024 - about last year

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 1508894338 NPPES
Oklahoma MEDICAID 100229790A
Oklahoma Other P00132191

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