Schmidt, Kent Douglas

Schmidt, Kent Douglas is an sole proprietor health care provider with primary practice located at 901 Kinkead Rd , Mcalester OK 74501-7718. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Schmidt, Kent Douglas can be contacted via phone (918) 916-0574.

Contact Information

Primary practice address
901 Kinkead Rd Mcalester OK 74501-7718
Phone: (918) 916-0574
Fax: (918) 423-6095
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R0048209 Oklahoma

Profile Details

NPI number 1538132790
LBN Legal business name Schmidt, Kent Douglas
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2006
Last updated Jul 10th, 2013 - about 11 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 1538132790 NPPES
Oklahoma MEDICAID 100787330A

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