Pilgrim, Christian Heath

Pilgrim, Christian Heath is an sole proprietor health care provider with primary practice located at 717 Sw 119Th St , Oklahoma City OK 73170-6067. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Pilgrim, Christian Heath can be contacted via phone (405) 691-0836.

Contact Information

Primary practice address
717 Sw 119Th St Oklahoma City OK 73170-6067
Phone: (405) 691-0836
Fax: (405) 691-0480
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 5554 Oklahoma

Profile Details

NPI number 1609843291
LBN Legal business name Pilgrim, Christian Heath
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 2nd, 2006
Last updated Apr 12th, 2013 - about 12 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 1609843291 NPPES
Other 952606 UNITED CONCORDIA
MEDICAID 200191730A UNITED CONCORDIA
Other 1309163 UNITED CONCORDIA

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