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Contact Information

PONCA CITY OPEN MRI, LLC
2112 N 14TH ST
PONCA CITY, OK74601-1829
 Phone: 580-762-6740
 Fax: 580-762-9627
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Magnetic Resonance Imaging Radiologic Technologist

2471M1202X
Indicates primary specialty

NPI Profile & details for PONCA CITY OPEN MRI LLC · (Female)

NPI Number 1912983719
Status Active
Credentials
Entity Individual
Enumeration date 12/22/2005
Last updated 02/01/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • KS Medicaid 7187533301
  • OK Medicaid 100836750A
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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