Short, Margo Renee
Short, Margo Renee is an individual health care provider with primary practice located at 330 S 5Th St Ste 202, Enid OK 73701-5861. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Short, Margo Renee can be contacted via phone (580) 297-5340.Contact Information
Primary practice address
330 S 5Th St Ste 202
Enid OK 73701-5861
Phone: (580) 297-5340
Fax: (580) 297-5344
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 23498 | Oklahoma |
Profile Details
| NPI number | 1164478590 |
|---|---|
| LBN Legal business name | Short, Margo Renee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 26th, 2006 |
| Last updated | May 4th, 2022 - about 3 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 | 1164478590 | NPPES |
| Oklahoma | MEDICAID | 200085930B |
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