Madison, James Regis

Madison, James Regis is an individual health care provider with primary practice located at 1500 E Downing #102 , Tahlequah OK 74464. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Madison, James Regis can be contacted via phone (918) 207-1189.

Contact Information

Primary practice address
1500 E Downing #102 Tahlequah OK 74464
Phone: (918) 207-1189
Fax: (918) 207-1160
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 4485 Oklahoma

Profile Details

NPI number 1447231311
LBN Legal business name Madison, James Regis
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated May 13th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447231311 NPPES
Oklahoma MEDICAID 200114250A

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