Edmond Physician Services Llc

LBN: Edmond Physician Services Llc
Edmond Physician Services Llc is an health care organization with primary practice located at 105 S Bryant Ave Ste 105 , Edmond OK 73034-6330. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Edmond Physician Services Llc can be contacted via phone (405) 715-3102, or through Jones, Stephanie via phone (405) 271-8132.

Contact Information

Primary practice address
105 S Bryant Ave Ste 105 Edmond OK 73034-6330
Phone: (405) 715-3102
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jones, Stephanie
Phone: (405) 271-8132

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1629018429
LBN Legal business name Edmond Physician Services Llc
DBA Doing business as
Authorized official Jones, Stephanie
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 2006
Last updated Mar 11th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629018429 NPPES
Oklahoma MEDICAID 200045590A

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