Blalock, James Mattison
Blalock, James Mattison is an sole proprietor health care provider with primary practice located at 608 Nw 9Th St Suite 6110, Oklahoma City OK 73102-1049. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Blalock, James Mattison can be contacted via phone (405) 272-6909.Contact Information
Primary practice address
608 Nw 9Th St Suite 6110
Oklahoma City OK 73102-1049
Phone: (405) 272-6909
Fax: (405) 231-3723
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 12285 | Oklahoma |
Profile Details
| NPI number | 1093754251 |
|---|---|
| LBN Legal business name | Blalock, James Mattison |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 5th, 2006 |
| Last updated | Jun 4th, 2015 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093754251 | NPPES |
| Oklahoma | MEDICAID | 100071500B | |
| Oklahoma | Other | P00332846 |
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