Korgan, Dwight Julius
Korgan, Dwight Julius is an sole proprietor health care provider with primary practice located at 1408 N Florence , Claremore OK 74017-3159. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Korgan, Dwight Julius can be contacted via phone (918) 341-1044.Contact Information
Primary practice address
1408 N Florence
Claremore OK 74017-3159
Phone: (918) 341-1044
Fax: (918) 341-7443
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 11178 | Oklahoma |
Profile Details
| NPI number | 1235102146 |
|---|---|
| LBN Legal business name | Korgan, Dwight Julius |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 10th, 2006 |
| Last updated | Feb 26th, 2013 - about 11 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 | 1235102146 | NPPES |
| Oklahoma | MEDICAID | 100069Z80A |
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