Prise, James G

Prise, James G is an sole proprietor health care provider with primary practice located at 781 Grand Casino Blvd , Shawnee OK 74804-1005. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Prise, James G can be contacted via phone (405) 964-5770.

Contact Information

Primary practice address
781 Grand Casino Blvd Shawnee OK 74804-1005
Phone: (405) 964-5770
Fax: (405) 964-5783
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 19402 Oklahoma

Profile Details

NPI number 1932134806
LBN Legal business name Prise, James G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2006
Last updated Jul 13th, 2015 - about 10 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 1932134806 NPPES
Oklahoma MEDICAID 100132580B

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