Boatner, Mckinley
Boatner, Mckinley is an individual health care provider with primary practice located at 1901 Springlake Dr , Oklahoma City OK 73111-5201. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Boatner, Mckinley can be contacted via phone (405) 521-8486.Contact Information
Primary practice address
1901 Springlake Dr
Oklahoma City OK 73111-5201
Phone: (405) 521-8486
Fax: (405) 521-8496
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 578 | Oklahoma |
Profile Details
| NPI number | 1508840695 |
|---|---|
| LBN Legal business name | Boatner, Mckinley |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 2005 |
| Last updated | Oct 30th, 2019 - about 7 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 | 1508840695 | NPPES |
| Oklahoma | Other | 578 | PA LICENSE |
| Oklahoma | MEDICAID | 200013400A | PA LICENSE |
| Oklahoma | MEDICAID | 200013400B | PA LICENSE |
| Oklahoma | MEDICAID | 200013400C | PA LICENSE |
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