Greenway, Roy Mack
Greenway, Roy Mack is an individual health care provider with primary practice located at 401 Sw 80Th St Ste 101 , Oklahoma City OK 73139-8123. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Greenway, Roy Mack can be contacted via phone (405) 601-5169.Contact Information
Primary practice address
401 Sw 80Th St Ste 101
Oklahoma City OK 73139-8123
Phone: (405) 601-5169
Fax: (405) 601-9095
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 23986 | Oklahoma |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 23986 | Oklahoma |
Profile Details
| NPI number | 1639219108 |
|---|---|
| LBN Legal business name | Greenway, Roy Mack |
| Credentials | MD, FACS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2007 |
| Last updated | Nov 11th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639219108 | NPPES |
| Oklahoma | MEDICAID | 200196600A |
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