Martin, Gerald Mikel

Martin, Gerald Mikel is an individual health care provider with primary practice located at 350 S 40Th St , Muskogee OK 74401-4915. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as his primary health care specialty. Martin, Gerald Mikel can be contacted via phone (918) 683-0753.

Contact Information

Primary practice address
350 S 40Th St Muskogee OK 74401-4915
Phone: (918) 683-0753
Fax: (918) 687-5251
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 1990 Oklahoma

Profile Details

NPI number 1760570840
LBN Legal business name Martin, Gerald Mikel
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Nov 12th, 2008 - about 16 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 1760570840 NPPES
Oklahoma MEDICAID 100255710A

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