Gilmore, Laura Shannon

Gilmore, Laura Shannon is an sole proprietor health care provider with primary practice located at 102 N Broadway , Carnegie OK 73015-9800. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is her primary health care specialty. Gilmore, Laura Shannon can be contacted via phone (800) 942-2904.

Contact Information

Primary practice address
102 N Broadway Carnegie OK 73015-9800
Fax:
Website:

Profile Details

NPI number 1295764108
LBN Legal business name Gilmore, Laura Shannon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 2nd, 2006
Last updated May 19th, 2022 - about 3 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 1295764108 NPPES
Oklahoma Other 22979 OK LICENSE #
Oklahoma MEDICAID 200086480 OK LICENSE #
Oklahoma Other 34574 OK LICENSE #

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