Cole, Gary Wayne

Cole, Gary Wayne is an individual health care provider with primary practice located at 620 S Madison St Ste 108 , Enid OK 73701-7270. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Cole, Gary Wayne can be contacted via phone (580) 977-1901.

Contact Information

Primary practice address
620 S Madison St Ste 108 Enid OK 73701-7270
Fax: (580) 249-4350
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 4891 Oklahoma

Profile Details

NPI number 1699084467
LBN Legal business name Cole, Gary Wayne
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2010
Last updated Apr 2nd, 2018 - about 7 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 1699084467 NPPES
Oklahoma MEDICAID 200401470B

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