Minor, David B

Minor, David B is an individual health care provider with primary practice located at 1516 S Yorktown Pl , Tulsa OK 74104-4918. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Minor, David B can be contacted via phone (918) 712-8888.

Contact Information

Primary practice address
1516 S Yorktown Pl Tulsa OK 74104-4918
Fax: (918) 712-8892
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 14933 Oklahoma

Profile Details

NPI number 1285610402
LBN Legal business name Minor, David B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2005
Last updated Dec 21st, 2011 - about 14 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 1285610402 NPPES
Oklahoma MEDICAID 100124200A

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