Oommen, Kalarickal J
Oommen, Kalarickal J is an individual health care provider with primary practice located at 3506 21St St Suite 400, Lubbock TX 79410. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Clinical Neurophysiology. Allopathic & Osteopathic Physicians / Clinical Neurophysiology is his primary health care specialty. Oommen, Kalarickal J can be contacted via phone (806) 725-4115.Contact Information
Primary practice address
3506 21St St Suite 400
Lubbock TX 79410
Phone: (806) 725-4115
Fax: (806) 723-7007
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | N4871 | Texas |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 11431 | Oklahoma |
| Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | N4871 | Texas |
Profile Details
| NPI number | 1609843655 |
|---|---|
| LBN Legal business name | Oommen, Kalarickal J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2006 |
| Last updated | Jul 16th, 2018 - about 6 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 | 1609843655 | NPPES |
| New Mexico | MEDICAID | W5011 | |
| New Mexico | Other | 8BS951 | |
| New Mexico | MEDICAID | 195950403 |
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