Wallen, James Mark

Wallen, James Mark is an individual health care provider with primary practice located at 1099 Garth Brooks Blvd , Yukon OK 73099-4104. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Wallen, James Mark can be contacted via phone (405) 350-1251.

Contact Information

Primary practice address
1099 Garth Brooks Blvd Yukon OK 73099-4104
Phone: (405) 350-1251
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 10348 Oklahoma

Profile Details

NPI number 1881979896
LBN Legal business name Wallen, James Mark
Credentials Doctor of Public Health (DPH)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2011
Last updated Oct 21st, 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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