Mourning, Dennis Earl

Mourning, Dennis Earl is an individual health care provider with primary practice located at 1501 N. Florence Suite 201, Claremore OK 74017-3189. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mourning, Dennis Earl can be contacted via phone (918) 341-1886.

Contact Information

Primary practice address
1501 N. Florence Suite 201 Claremore OK 74017-3189
Phone: (918) 341-1886
Fax: (918) 343-1727
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 10916 Oklahoma

Profile Details

NPI number 1487606174
LBN Legal business name Mourning, Dennis Earl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Aug 15th, 2011 - about 15 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 1487606174 NPPES
Oklahoma MEDICAID 100191830A

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