Osborn, James Mark

Osborn, James Mark is an individual health care provider with primary practice located at 21 W Central Ave , Miami OK 74354-6815. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Osborn, James Mark can be contacted via phone (918) 542-3900.

Contact Information

Primary practice address
21 W Central Ave Miami OK 74354-6815
Phone: (918) 542-3900
Fax: (918) 542-3928
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 16251 Oklahoma

Profile Details

NPI number 1669446225
LBN Legal business name Osborn, James Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Apr 5th, 2017 - about 7 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 1669446225 NPPES
Oklahoma MEDICAID 100137110A
Oklahoma MEDICAID 100743480A
Oklahoma MEDICAID 100160970A
Oklahoma MEDICAID 100736700O
Oklahoma MEDICAID 2077109601

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