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
Fax: (405) 878-3814
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043257165 NPPES
Oklahoma MEDICAID 100478320B

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