Ingram, Fred M

Ingram, Fred M is an sole proprietor health care provider with primary practice located at 1205 W Main St , Collinsville OK 74021-3114. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ingram, Fred M can be contacted via phone (918) 371-5885.

Contact Information

Primary practice address
1205 W Main St Collinsville OK 74021-3114
Phone: (918) 371-5885
Fax: (918) 371-5986
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2098 Oklahoma
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X J7525 Texas

Profile Details

NPI number 1699756957
LBN Legal business name Ingram, Fred M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 14th, 2005
Last updated Jan 23rd, 2010 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1699756957 NPPES
Oklahoma Other 080114575 PALMETTO GBA-RAILROAD
Oklahoma Other 731479823001 PALMETTO GBA-RAILROAD
Oklahoma Other 731479823 PALMETTO GBA-RAILROAD
Oklahoma MEDICAID 100106080B PALMETTO GBA-RAILROAD

Popular Providers