Carpenter, Cary Lee

Carpenter, Cary Lee is an sole proprietor health care provider with primary practice located at 15679 Ne 23Rd St , Choctaw OK 73020-8592. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Carpenter, Cary Lee can be contacted via phone (405) 390-9600.

Contact Information

Primary practice address
15679 Ne 23Rd St Choctaw OK 73020-8592
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 18237 Oklahoma

Profile Details

NPI number 1053311548
LBN Legal business name Carpenter, Cary Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2005
Last updated Sep 28th, 2022 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053311548 NPPES
Other 900522085 MEDICARE GROUP PTAN - CARY CARPENTER M.D. PC DBA CHOCTAW FAMILY MEDICINE
MEDICAID 100113820B MEDICARE GROUP PTAN - CARY CARPENTER M.D. PC DBA CHOCTAW FAMILY MEDICINE

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