Compton, Grover Len

Compton, Grover Len is an individual health care provider with primary practice located at 1650 Main St , Woodward OK 73801-3046. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Compton, Grover Len can be contacted via phone (580) 571-8050.

Contact Information

Primary practice address
1650 Main St Woodward OK 73801-3046
Phone: (580) 571-8050
Fax: (580) 571-8038
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 973 Oklahoma

Profile Details

NPI number 1043276694
LBN Legal business name Compton, Grover Len
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2006
Last updated Jan 29th, 2009 - about 17 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 1043276694 NPPES
Oklahoma MEDICAID 100096390I

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