Chisholm, Robert Miles

Chisholm, Robert Miles is an sole proprietor health care provider with primary practice located at 605 W Gore Blvd Suite 6, Lawton OK 73501-3727. He recently has only one registered license in Other Service Providers / Medical Genetics, Ph.D. Medical Genetics, which is considered as his primary health care specialty. Chisholm, Robert Miles can be contacted via phone (580) 353-1616.

Contact Information

Primary practice address
605 W Gore Blvd Suite 6 Lawton OK 73501-3727
Phone: (580) 353-1616
Fax: (580) 353-0052
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Medical Genetics, Ph.D. Medical Genetics 170100000X 22563 Oklahoma

Profile Details

NPI number 1205941762
LBN Legal business name Chisholm, Robert Miles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 21st, 2006
Last updated Sep 10th, 2010 - about 15 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 1205941762 NPPES
Oklahoma MEDICAID 100108500B
Oklahoma Other 080185221

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