Self, Kristi G
Self, Kristi G is an individual health care provider with primary practice located at 5100 N Brookline Ave Suite 500, Oklahoma City OK 73112-3623. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Self, Kristi G can be contacted via phone (405) 605-8780.Contact Information
Primary practice address
5100 N Brookline Ave Suite 500
Oklahoma City OK 73112-3623
Phone: (405) 605-8780
Fax: (405) 605-8782
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 18173 | Oklahoma |
Profile Details
| NPI number | 1528030970 |
|---|---|
| LBN Legal business name | Self, Kristi G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 1st, 2006 |
| Last updated | Jan 12th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528030970 | NPPES |
| Oklahoma | MEDICAID | 100144570A | |
| Oklahoma | Other | 250013313 |
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