Christie, Gavin C

Christie, Gavin C is an individual health care provider with primary practice located at 3366 Nw Expressway Ste 250 , Oklahoma City OK 73112-4427. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Christie, Gavin C can be contacted via phone (405) 552-0401.

Contact Information

Primary practice address
3366 Nw Expressway Ste 250 Oklahoma City OK 73112-4427
Phone: (405) 552-0401
Fax: (405) 848-3210
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1170 Oklahoma

Profile Details

NPI number 1083685630
LBN Legal business name Christie, Gavin C
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2006
Last updated Jul 21st, 2022 - about 3 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 1083685630 NPPES
Oklahoma MEDICAID 100167880A

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