Murray, Mary Janelle

Murray, Mary Janelle is an individual health care provider with primary practice located at 1715 N 5Th St , Ponca City OK 74601-2763. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Murray, Mary Janelle can be contacted via phone (580) 762-9292.

Contact Information

Primary practice address
1715 N 5Th St Ponca City OK 74601-2763
Phone: (580) 762-9292
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 67414 Oklahoma

Profile Details

NPI number 1538655725
LBN Legal business name Murray, Mary Janelle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2018
Last updated Nov 9th, 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 1538655725 NPPES
Oklahoma MEDICAID 200810780A

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