Podleski, Gregg T

Podleski, Gregg T is an sole proprietor health care provider with primary practice located at 1 E. Clark Bass Blvd Ste 210, Mcalester OK 74501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Podleski, Gregg T can be contacted via phone (918) 421-3951.

Contact Information

Primary practice address
1 E. Clark Bass Blvd Ste 210 Mcalester OK 74501
Fax: (918) 421-6679
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X J7138 Texas

Profile Details

NPI number 1376596395
LBN Legal business name Podleski, Gregg T
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 19th, 2006
Last updated Jun 13th, 2024 - about 2 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 1376596395 NPPES
Texas MEDICAID 034994601

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