Mallgren, Weldon John
Mallgren, Weldon John is an individual health care provider with primary practice located at 17599 S Highway 88 , Claremore OK 74017-0801. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Mallgren, Weldon John can be contacted via phone (918) 342-9530.Contact Information
Primary practice address
17599 S Highway 88
Claremore OK 74017-0801
Phone: (918) 342-9530
Fax: (918) 342-9533
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 2466 | Oklahoma |
Profile Details
| NPI number | 1841384021 |
|---|---|
| LBN Legal business name | Mallgren, Weldon John |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Mar 1st, 2011 - about 13 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 | 1841384021 | NPPES |
| Oklahoma | MEDICAID | 100227390C |
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