Denslow, Gary Thane
Denslow, Gary Thane is an sole proprietor health care provider with primary practice located at 4606 E 67Th St Ste 400 , Tulsa OK 74136-4950. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Denslow, Gary Thane can be contacted via phone (918) 938-6442.Contact Information
Primary practice address
4606 E 67Th St Ste 400
Tulsa OK 74136-4950
Phone: (918) 938-6442
Fax: (918) 728-8091
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 11608 | Oklahoma |
Profile Details
| NPI number | 1194718775 |
|---|---|
| LBN Legal business name | Denslow, Gary Thane |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 29th, 2005 |
| Last updated | Jan 23rd, 2020 - about 4 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 | 1194718775 | NPPES |
| Oklahoma | MEDICAID | 100058220A |
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