Gann, Ron Mitchlin

Gann, Ron Mitchlin is an individual health care provider with primary practice located at 10512 North 110Th East Avenue Suite 300, Owasso OK 74055-6638. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gann, Ron Mitchlin can be contacted via phone (918) 376-8900.

Contact Information

Primary practice address
10512 North 110Th East Avenue Suite 300 Owasso OK 74055-6638
Phone: (918) 376-8900
Fax: (918) 376-8990
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4408 Oklahoma

Profile Details

NPI number 1689770760
LBN Legal business name Gann, Ron Mitchlin
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated May 1st, 2014 - about 12 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 1689770760 NPPES
Oklahoma MEDICAID 200097630B

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