Donnelly, Andrew Driscoll
Donnelly, Andrew Driscoll is an individual health care provider with primary practice located at 619 E Main St , Jenks OK 74037-4138. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Donnelly, Andrew Driscoll can be contacted via phone (918) 299-8080.Contact Information
Primary practice address
619 E Main St
Jenks OK 74037-4138
Phone: (918) 299-8080
Fax: (918) 298-2838
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 21227 | Oklahoma |
Profile Details
| NPI number | 1154394062 |
|---|---|
| LBN Legal business name | Donnelly, Andrew Driscoll |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 10th, 2006 |
| Last updated | Jan 3rd, 2011 - about 13 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 | 1154394062 | NPPES |
| Oklahoma | MEDICAID | 100254480C |
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