Winchester, Mark David

Winchester, Mark David is an individual health care provider with primary practice located at 317 E Himes St , Norman OK 73069-7810. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Winchester, Mark David can be contacted via phone (405) 632-6688.

Contact Information

Primary practice address
317 E Himes St Norman OK 73069-7810
Fax: (405) 604-0738
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 17303 Oklahoma

Profile Details

NPI number 1912974809
LBN Legal business name Winchester, Mark David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Mar 19th, 2015 - about 9 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 1912974809 NPPES
Oklahoma MEDICAID 100186300A

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