Colvert, James R

Colvert, James R is an individual health care provider with primary practice located at 615 E Oklahoma Ave Ste 202, Enid OK 73701-5952. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Colvert, James R can be contacted via phone (580) 233-3230.

Contact Information

Primary practice address
615 E Oklahoma Ave Ste 202 Enid OK 73701-5952
Phone: (580) 233-3230
Fax: (580) 233-0698
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 21222 Oklahoma

Profile Details

NPI number 1194727461
LBN Legal business name Colvert, James R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Aug 26th, 2014 - about 10 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 1194727461 NPPES
Oklahoma Other P000052000 RAILROAD M/C
Oklahoma MEDICAID 200015940A RAILROAD M/C

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