Corrales, Mark G
Corrales, Mark G is an individual health care provider with primary practice located at 1810 W Gore Blvd , Lawton OK 73501-3615. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Corrales, Mark G can be contacted via phone (580) 355-4540.Contact Information
Primary practice address
1810 W Gore Blvd
Lawton OK 73501-3615
Phone: (580) 355-4540
Fax: (580) 248-2012
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 11511 | Oklahoma |
Profile Details
| NPI number | 1639224165 |
|---|---|
| LBN Legal business name | Corrales, Mark G |
| Credentials | Doctor of Public Health (DPH) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639224165 | NPPES |
| Oklahoma | Other | 11511 | PHARMACIST LICENSE NUMBER |
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