Dockendorf, Justin Graham

Dockendorf, Justin Graham is an sole proprietor health care provider with primary practice located at 3100 Dutch Forest Ln , Edmond OK 73013-7577. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Dockendorf, Justin Graham can be contacted via phone (405) 706-3019.

Contact Information

Primary practice address
3100 Dutch Forest Ln Edmond OK 73013-7577
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 23662 Oklahoma

Profile Details

NPI number 1619070414
LBN Legal business name Dockendorf, Justin Graham
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 7th, 2006
Last updated Apr 29th, 2008 - about 18 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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