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Contact Information

THE SPECIALTY CARE CLINIC
4127 NW 122ND ST STE E
OKLAHOMA CITY, OK73120-8880
 Phone: 405-276-8076
 Fax: 405-276-8077
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

163WG0000X
 

Adult Medicine

207QA0505X 08 Physician/Family Practice
 

Licensed Practical Nurse

164W00000X
 

Neonatal-Perinatal Medicine

2080N0001X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for THE SPECIALTY CARE CLINIC · (Female)

NPI Number 1518547702
Status Active
Credentials
Entity Individual
Enumeration date 04/12/2021
Last updated 04/15/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers
  • OK Medicaid 1255358891
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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