Zellmer, Johnny A

Zellmer, Johnny A is an individual health care provider with primary practice located at 3101 Elks Road , Mcalester OK 74501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Zellmer, Johnny A can be contacted via phone (918) 426-2442.

Contact Information

Primary practice address
3101 Elks Road Mcalester OK 74501
Fax: (918) 426-0888
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20237 Oklahoma

Profile Details

NPI number 1053347120
LBN Legal business name Zellmer, Johnny A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Sep 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053347120 NPPES
Oklahoma MEDICAID 100228090A

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