Powers, Gina Louise

Powers, Gina Louise is an individual health care provider with primary practice located at 1401 E Van Buren Ave , Mcalester OK 74501-4245. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Powers, Gina Louise can be contacted via phone (918) 426-0240.

Contact Information

Primary practice address
1401 E Van Buren Ave Mcalester OK 74501-4245
Phone: (918) 426-0240
Fax: (918) 423-4051
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 654 Oklahoma

Profile Details

NPI number 1881659100
LBN Legal business name Powers, Gina Louise
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Dec 21st, 2011 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881659100 NPPES
Oklahoma MEDICAID 100129980A
Oklahoma Other 1324230001
Oklahoma Other 970007989

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