Medcalf, Timothy W.

Medcalf, Timothy W. is an individual health care provider with primary practice located at 301 N Monte Vista St , Ada OK 74820-4607. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Medcalf, Timothy W. can be contacted via phone (580) 364-5111.

Contact Information

Primary practice address
301 N Monte Vista St Ada OK 74820-4607
Fax: (580) 279-1994
Website:

Profile Details

NPI number 1548221443
LBN Legal business name Medcalf, Timothy W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2006
Last updated Nov 18th, 2021 - about 4 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 1548221443 NPPES
Oklahoma Other 200080110A MEDICAID GROUP
Oklahoma Other 300522226 MEDICAID GROUP
Oklahoma MEDICAID 100125290B MEDICAID GROUP

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