Elenburg, Darren Dean

Elenburg, Darren Dean is an individual health care provider with primary practice located at 609 W Memorial Rd , Oklahoma City OK 73114-2006. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Elenburg, Darren Dean can be contacted via phone (405) 418-2676.

Contact Information

Primary practice address
609 W Memorial Rd Oklahoma City OK 73114-2006
Phone: (405) 418-2676
Fax: (405) 418-2677
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 226 Oklahoma
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 226 Oklahoma

Profile Details

NPI number 1548269459
LBN Legal business name Elenburg, Darren Dean
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2005
Last updated May 13th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548269459 NPPES
Oklahoma MEDICAID 200120470A

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