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Contact Information

BLICK MEDICAL LLC
1007 N MAIN ST STE 101
ELK CITY, OK73644-2830
 Phone: 580-339-8001
 Fax: 580-339-8031
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for BLICK MEDICAL LLC · (Female)

NPI Number 1467976654
Status Active
Credentials
Entity Individual
Enumeration date 07/28/2017
Last updated 05/01/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers
  • OK Medicaid 200734120A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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