Marsh, Bryan Vannuel
Marsh, Bryan Vannuel is an individual health care provider with primary practice located at 13616 E 103Rd Street N Suite A, Owasso OK 74055. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Marsh, Bryan Vannuel can be contacted via phone (918) 274-8555.Contact Information
Primary practice address
13616 E 103Rd Street N Suite A
Owasso OK 74055
Phone: (918) 274-8555
Fax: (918) 274-8556
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 19507 | Oklahoma |
Profile Details
| NPI number | 1033258959 |
|---|---|
| LBN Legal business name | Marsh, Bryan Vannuel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2007 |
| Last updated | Dec 20th, 2016 - about 10 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 | 1033258959 | NPPES |
| Oklahoma | MEDICAID | 100253080A |
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