Bryan, Vincent Montgomery
Bryan, Vincent Montgomery is an individual health care provider with primary practice located at 6565 S Yale Ave Ste 312 , Tulsa OK 74136-8304. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Bryan, Vincent Montgomery can be contacted via phone (918) 502-7050.Contact Information
Primary practice address
6565 S Yale Ave Ste 312
Tulsa OK 74136-8304
Phone: (918) 502-7050
Fax: (918) 502-7055
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 3446 | Oklahoma |
Profile Details
| NPI number | 1134129356 |
|---|---|
| LBN Legal business name | Bryan, Vincent Montgomery |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 29th, 2005 |
| Last updated | Apr 6th, 2020 - about 6 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 | 1134129356 | NPPES |
| Oklahoma | MEDICAID | 100130500B |
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