Ebert, Mark Oren
Ebert, Mark Oren is an individual health care provider with primary practice located at 3300 Nw Expressway , Oklahoma City OK 73112-4418. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Ebert, Mark Oren can be contacted via phone (405) 949-3401.Contact Information
Primary practice address
3300 Nw Expressway
Oklahoma City OK 73112-4418
Phone: (405) 949-3401
Fax: (405) 945-5422
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 13755 | Oklahoma |
Profile Details
| NPI number | 1801882097 |
|---|---|
| LBN Legal business name | Ebert, Mark Oren |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2005 |
| Last updated | Mar 26th, 2018 - about 8 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 | 1801882097 | NPPES |
| Oklahoma | MEDICAID | 100252120B |
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