Nation, Cary Douglas
Nation, Cary Douglas is an individual health care provider with primary practice located at 1501 Airport Dr , Shawnee OK 74804-4321. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Nation, Cary Douglas can be contacted via phone (405) 273-5801.Contact Information
Primary practice address
1501 Airport Dr
Shawnee OK 74804-4321
Phone: (405) 273-5801
Fax: (405) 878-3814
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1393 | Oklahoma |
Profile Details
NPI number | 1043257165 |
---|---|
LBN Legal business name | Nation, Cary Douglas |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 31st, 2006 |
Last updated | Aug 31st, 2012 - about 12 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1043257165 | NPPES |
Oklahoma | MEDICAID | 100478320B |
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