Dolan, C Terrence

Dolan, C Terrence is an individual health care provider with primary practice located at 4142 S Mingo Rd , Tulsa OK 74146-3632. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Medical Microbiology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Dolan, C Terrence can be contacted via phone (918) 744-2553.

Contact Information

Primary practice address
4142 S Mingo Rd Tulsa OK 74146-3632
Phone: (918) 744-2553
Fax: (918) 744-3482
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 12544 Oklahoma
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 04-13816 Kansas
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 10817 Nebraska
Allopathic & Osteopathic Physicians / Medical Microbiology 207ZM0300X 12544 Oklahoma

Profile Details

NPI number 1962429787
LBN Legal business name Dolan, C Terrence
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2006
Last updated Oct 2nd, 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 1962429787 NPPES
Oklahoma MEDICAID 100258090B
Oklahoma MEDICAID 9791
Oklahoma MEDICAID 100158930A

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