Christian, Michal Geralyn

Christian, Michal Geralyn is an individual health care provider with primary practice located at 1705 Renaissance Blvd Ste 100, Edmond OK 73013-3041. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Christian, Michal Geralyn can be contacted via phone (405) 285-7500.

Contact Information

Primary practice address
1705 Renaissance Blvd Ste 100 Edmond OK 73013-3041
Fax: (405) 285-7501
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1430 Oklahoma

Profile Details

NPI number 1205829405
LBN Legal business name Christian, Michal Geralyn
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Feb 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205829405 NPPES
Oklahoma MEDICAID 200057710A

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