Porter, Marilyn Gregory
Porter, Marilyn Gregory is an sole proprietor health care provider with primary practice located at 3434 Nw 56Th St , Oklahoma City OK 73112-4415. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as her primary health care specialty. Porter, Marilyn Gregory can be contacted via phone (405) 943-5677.Contact Information
Primary practice address
3434 Nw 56Th St
Oklahoma City OK 73112-4415
Phone: (405) 943-5677
Fax: (405) 943-6140
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | 7042 | Oklahoma |
Profile Details
| NPI number | 1093766727 |
|---|---|
| LBN Legal business name | Porter, Marilyn Gregory |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 15th, 2006 |
| Last updated | May 4th, 2012 - about 13 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 | 1093766727 | NPPES |
| Oklahoma | MEDICAID | 100825080B |
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