National Provider Identifier Database

GENERAL PRACTICE MEDICAL CLINIC INC
Sleep Disorder Diagnostic


Contact Information

GENERAL PRACTICE MEDICAL CLINIC, INC.
1012 SOUTH PLAZA
TAHLEQUAH, OK74464
Phone: 918-207-1400
Fax: 918-207-1401
Website:
Specialty Taxonomy Code
* Sleep Disorder Diagnostic 261QS1200X

* Indicates primary specialty

NPI Profile & details for GENERAL PRACTICE MEDICAL CLINIC, INC.

NPI Number 1740330596
Legal business name
LBN
GENERAL PRACTICE MEDICAL CLINIC, INC.
Authorized official BOBBY DANIEL - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 01/12/2007
Last updated 09/26/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • OK License #: OK1843

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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