Osborn, John Clark

Osborn, John Clark is an individual health care provider with primary practice located at 310 2Nd Ave Sw 107-B, Miami OK 74354-6743. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Osborn, John Clark can be contacted via phone (918) 540-7730.

Contact Information

Primary practice address
310 2Nd Ave Sw 107-B Miami OK 74354-6743
Phone: (918) 540-7730
Fax: (918) 540-7797
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 15646 Oklahoma
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 15646 Oklahoma

Profile Details

NPI number 1629044334
LBN Legal business name Osborn, John Clark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 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 1629044334 NPPES
Oklahoma MEDICAID 200468380O
Oklahoma MEDICAID 500156005
Oklahoma MEDICAID 207709718
Oklahoma MEDICAID 100096540A

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