Elkington, Mark Wayne
Elkington, Mark Wayne is an individual health care provider with primary practice located at 130 A St Sw , Miami OK 74354-6806. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Elkington, Mark Wayne can be contacted via phone (918) 542-1836.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 20887 | Oklahoma |
Profile Details
| NPI number | 1790846582 |
|---|---|
| LBN Legal business name | Elkington, Mark Wayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 13th, 2006 |
| Last updated | Jul 12th, 2010 - about 16 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 | 1790846582 | NPPES |
| Oklahoma | MEDICAID | 100207350B |
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