National Provider Identifier Database

PHYSICIANS CHOICE DIALYSIS OF MIDWEST CITY LLC
Renal Dialysis


Contact Information

PHYSICIANS CHOICE DIALYSIS OF MIDWEST CITY LLC
3200 SE 29TH STREET
DEL CITY, OK73115
Phone: 610-495-8900
Fax:
Website:
Specialty Taxonomy Code
* Renal Dialysis 2472R0900X

* Indicates primary specialty

NPI Profile & details for PHYSICIANS CHOICE DIALYSIS OF MIDWEST CITY LLC

NPI Number 1639776222
Legal business name
LBN
PHYSICIANS CHOICE DIALYSIS OF MIDWEST CITY LLC
Authorized official KELLY SMITH - (DIRECTOR, CONTRACTS)
Entity Organization
Organization subpart No
Enumeration date 10/06/2020
Last updated 01/05/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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