Kraemer, Mark David
Kraemer, Mark David is an individual health care provider with primary practice located at 5801 E 41St St Ste 900 , Tulsa OK 74135-5631. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Kraemer, Mark David can be contacted via phone (918) 747-4975.Contact Information
Primary practice address
5801 E 41St St Ste 900
Tulsa OK 74135-5631
Phone: (918) 747-4975
Fax: (918) 743-8552
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 018642 | Louisiana |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 18510 | Oklahoma |
Profile Details
| NPI number | 1821066861 |
|---|---|
| LBN Legal business name | Kraemer, Mark David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2006 |
| Last updated | Jul 13th, 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 | 1821066861 | NPPES |
| Oklahoma | MEDICAID | 100113350A |
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