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
Fax: (918) 341-7443
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235102146 NPPES
Oklahoma MEDICAID 100069Z80A

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