Mader, Elaine Mary

Mader, Elaine Mary is an individual health care provider with primary practice located at 200 2Nd Ave Sw , Miami OK 74354-6830. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Mader, Elaine Mary can be contacted via phone (918) 542-6611.

Contact Information

Primary practice address
200 2Nd Ave Sw Miami OK 74354-6830
Phone: (918) 542-6611
Fax: (405) 553-5633
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 16786 Oklahoma

Profile Details

NPI number 1467427591
LBN Legal business name Mader, Elaine Mary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Apr 22nd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1467427591 NPPES
Missouri MEDICAID 500156005
Missouri MEDICAID 100193100A
Missouri MEDICAID 100699440M
Missouri MEDICAID 209879907

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