Studebaker, Marion K.

Studebaker, Marion K. is an individual health care provider with primary practice located at 520 S Mustang Rd , Yukon OK 73099-6737. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Studebaker, Marion K. can be contacted via phone (405) 936-5910.

Contact Information

Primary practice address
520 S Mustang Rd Yukon OK 73099-6737
Fax: (405) 577-2605
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 13434 Oklahoma

Profile Details

NPI number 1306875729
LBN Legal business name Studebaker, Marion K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Sep 14th, 2018 - about 6 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 1306875729 NPPES
Oklahoma Other 13434 LICENSE
Oklahoma MEDICAID 100088380A LICENSE
Oklahoma Other 080020799 LICENSE
Oklahoma Other 20466 LICENSE

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