Mix, Eric W

Mix, Eric W is an individual health care provider with primary practice located at 300 Rockefeller Dr , Muskogee OK 74401-5075. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Mix, Eric W can be contacted via phone (918) 781-9466.

Contact Information

Primary practice address
300 Rockefeller Dr Muskogee OK 74401-5075
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 4316 Oklahoma
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4316 Oklahoma

Profile Details

NPI number 1003806704
LBN Legal business name Mix, Eric W
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Aug 31st, 2009 - about 15 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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