Mordecai, James

Mordecai, James is an individual health care provider with primary practice located at 300 Rockefeller Dr , Muskogee OK 74401-5075. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Mordecai, James can be contacted via phone (918) 684-2557.

Contact Information

Primary practice address
300 Rockefeller Dr Muskogee OK 74401-5075
Phone: (918) 684-2557
Fax: (405) 948-6507
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R0032436 Oklahoma

Profile Details

NPI number 1427150812
LBN Legal business name Mordecai, James
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2006
Last updated Jul 8th, 2007 - about 19 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 1427150812 NPPES
Louisiana MEDICAID 1721794

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