Brant, Douglas Wayne
Brant, Douglas Wayne is an individual health care provider with primary practice located at 6801 Nw 39Th Expy , Bethany OK 73008-2501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Brant, Douglas Wayne can be contacted via phone (405) 789-2441.Contact Information
Primary practice address
6801 Nw 39Th Expy
Bethany OK 73008-2501
Phone: (405) 789-2441
Fax: (405) 789-7978
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 9222 | Oklahoma |
Profile Details
| NPI number | 1780618108 |
|---|---|
| LBN Legal business name | Brant, Douglas Wayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2006 |
| Last updated | May 1st, 2012 - about 14 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 | 1780618108 | NPPES |
| Oklahoma | MEDICAID | 100110280A | |
| Oklahoma | Other | 080175208 |
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