Ginzburg, Harold M

Ginzburg, Harold M is an individual health care provider with primary practice located at 100 S Bliss Ave Dept Of Psychiatry, Tahlequah OK 74464-2512. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Forensic Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Ginzburg, Harold M can be contacted via phone (504) 858-0066.

Contact Information

Primary practice address
100 S Bliss Ave Dept Of Psychiatry Tahlequah OK 74464-2512
Phone: (504) 858-0066
Fax: (504) 613-4913
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Forensic Psychiatry 2084F0202X 25865 Oklahoma
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 25865 Oklahoma

Profile Details

NPI number 1154483303
LBN Legal business name Ginzburg, Harold M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2006
Last updated Nov 29th, 2011 - about 15 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 1154483303 NPPES
Louisiana MEDICAID 99610

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