Page, Garry Thomas

Page, Garry Thomas is an sole proprietor health care provider with primary practice located at 1596 S Lee St , Fort Gibson OK 74434-8403. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Page, Garry Thomas can be contacted via phone (918) 478-3388.

Contact Information

Primary practice address
1596 S Lee St Fort Gibson OK 74434-8403
Fax: (918) 478-3397
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3311 Oklahoma

Profile Details

NPI number 1780688507
LBN Legal business name Page, Garry Thomas
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2005
Last updated Feb 3rd, 2010 - about 14 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 1780688507 NPPES
Oklahoma Other 3311 LICENSE NUMBER

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