Nightengale, Mark L

Nightengale, Mark L is an individual health care provider with primary practice located at 6465 S Yale Ave Suite 1002, Tulsa OK 74136-7823. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Nightengale, Mark L can be contacted via phone (918) 481-4706.

Contact Information

Primary practice address
6465 S Yale Ave Suite 1002 Tulsa OK 74136-7823
Fax: (918) 481-4765
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 18311 Oklahoma

Profile Details

NPI number 1144215971
LBN Legal business name Nightengale, Mark L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
Last updated Mar 29th, 2016 - about 8 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 1144215971 NPPES
Oklahoma MEDICAID 100131480A

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