Ford, Edward G.

Ford, Edward G. is an individual health care provider with primary practice located at 6151 S Yale Ave Suite 1305, Tulsa OK 74136-1907. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Pediatric Surgery. Allopathic & Osteopathic Physicians / Pediatric Surgery is his primary health care specialty. Ford, Edward G. can be contacted via phone (918) 494-9450.

Contact Information

Primary practice address
6151 S Yale Ave Suite 1305 Tulsa OK 74136-1907
Phone: (918) 494-9450
Fax: (918) 494-9437
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 117899 Missouri
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 117899 Missouri
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 28432 Oklahoma

Profile Details

NPI number 1134296577
LBN Legal business name Ford, Edward G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2006
Last updated Jul 27th, 2017 - about 8 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 1134296577 NPPES
Oklahoma MEDICAID 200335580A
Oklahoma MEDICAID 2038833400

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