Pack, Patricia

Pack, Patricia is an individual health care provider with primary practice located at 1111 N 36Th St , Muskogee OK 74401-1809. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine, which is considered as her primary health care specialty. Pack, Patricia can be contacted via phone (918) 683-4621.

Contact Information

Primary practice address
1111 N 36Th St Muskogee OK 74401-1809
Phone: (918) 683-4621
Fax: (918) 683-4002
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine 2081P0010X 425 Oklahoma

Profile Details

NPI number 1013027275
LBN Legal business name Pack, Patricia
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jul 9th, 2007 - about 17 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 1013027275 NPPES
Oklahoma Other 510163643001 BLUE CROSS/ BLUE SHIELD

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