Carrico, George B
Carrico, George B is an individual health care provider with primary practice located at 1923 S Utica Ave , Tulsa OK 74104-6520. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Carrico, George B can be contacted via phone (918) 744-3528.Contact Information
Primary practice address
1923 S Utica Ave
Tulsa OK 74104-6520
Phone: (918) 744-3528
Fax: (918) 744-3529
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 13635 | Oklahoma |
Profile Details
| NPI number | 1871583625 |
|---|---|
| LBN Legal business name | Carrico, George B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 24th, 2005 |
| Last updated | Apr 14th, 2010 - about 16 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 | 1871583625 | NPPES |
| Oklahoma | MEDICAID | 100076250B |
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