Crittenden, Mickey E.
Crittenden, Mickey E. is an individual health care provider with primary practice located at 1919 E Memorial Rd , Oklahoma City OK 73131-1253. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Crittenden, Mickey E. can be contacted via phone (405) 341-7009.Contact Information
Primary practice address
1919 E Memorial Rd
Oklahoma City OK 73131-1253
Phone: (405) 341-7009
Fax: (405) 340-1817
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 11345 | Oklahoma |
Profile Details
| NPI number | 1902836901 |
|---|---|
| LBN Legal business name | Crittenden, Mickey E. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 4th, 2006 |
| Last updated | Apr 28th, 2014 - about 12 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 | 1902836901 | NPPES |
| Oklahoma | Other | 15429 | OBNDD |
| Oklahoma | MEDICAID | 100110500B | OBNDD |
| Oklahoma | Other | 11345 | OBNDD |
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