Self, Kristi G

Self, Kristi G is an individual health care provider with primary practice located at 5100 N Brookline Ave Suite 500, Oklahoma City OK 73112-3623. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Self, Kristi G can be contacted via phone (405) 605-8780.

Contact Information

Primary practice address
5100 N Brookline Ave Suite 500 Oklahoma City OK 73112-3623
Phone: (405) 605-8780
Fax: (405) 605-8782
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 18173 Oklahoma

Profile Details

NPI number 1528030970
LBN Legal business name Self, Kristi G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2006
Last updated Jan 12th, 2016 - about 8 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 1528030970 NPPES
Oklahoma MEDICAID 100144570A
Oklahoma Other 250013313

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