Shockey, Brian Michael

Shockey, Brian Michael is an individual health care provider with primary practice located at 2419 Chickasaw Blvd , Ardmore OK 73401-1466. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Shockey, Brian Michael can be contacted via phone (580) 223-6767.

Contact Information

Primary practice address
2419 Chickasaw Blvd Ardmore OK 73401-1466
Phone: (580) 223-6767
Fax: (580) 226-2977
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 18264 Oklahoma

Profile Details

NPI number 1366404105
LBN Legal business name Shockey, Brian Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2006
Last updated May 14th, 2008 - about 17 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 1366404105 NPPES
Oklahoma MEDICAID 100202500A

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