Martin, Charles Lawrence

Martin, Charles Lawrence is an sole proprietor health care provider with primary practice located at 721 S George Nigh Expy , Mcalester OK 74501-7400. He recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as his primary health care specialty. Martin, Charles Lawrence can be contacted via phone (918) 302-8911.

Contact Information

Primary practice address
721 S George Nigh Expy Mcalester OK 74501-7400
Phone: (918) 302-8911
Fax: (918) 320-0405
Website:
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Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1679890958
LBN Legal business name Martin, Charles Lawrence
Credentials BHRS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 27th, 2010
Last updated Apr 27th, 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 1679890958 NPPES
Oklahoma MEDICAID 100746580A

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