Laura Marie Black-Wicks in Eufaula - Family Medicine
Laura Marie Black-Wicks - NPI 1184607517
Laura Marie Black-Wicks is a Family Medicine in Eufaula, Oklahoma. Laura Marie Black-Wicks practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Laura Marie Black-Wicks is 1184607517. The last update date is 2020-02-18.
Laura Marie Black-Wicks's current location address is 111 W Forrest Ave Ste B, Eufaula, Oklahoma. You can contact this provider via phone number 9184907011 and fax number 9184907015. The mailing address for Laura Marie Black-Wicks is 111 W Forrest Ave Ste B, Eufaula, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Laura Marie Black-Wicks |
|---|---|
| Address | 111 W Forrest Ave Ste B, Eufaula, Oklahoma |
| Phone Number | 9184907011 |
| Fax Number | 9184907015 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1184607517 |
|---|---|
| Provider Enumeration Date | 2005-11-21 |
| Last Updated Date | 2020-02-18 |
Provider Mailing Address Detail
| Address | 111 W Forrest Ave Ste B |
|---|---|
| City | Eufaula |
| State | Oklahoma (OK) |
| Post Code | 744323205 |
| Phone Number | 9184907011 |
| Fax Number | 9184907015 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 4144 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200022700D | OK | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Laura Marie Black-Wicks by the Centers for Medicare & Medicaid Services (CMS)?
The Laura Marie Black-Wicks has been assigned the NPI (National Provider Identifier) 1184607517. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Laura Marie Black-Wicks?
The Laura Marie Black-Wicks is physically situated at 111 W Forrest Ave Ste B, in the city of Eufaula, state of OK, with the postal code 744323205.
When was the Laura Marie Black-Wicks's 1184607517 issued?
The Laura Marie Black-Wicks's 1184607517 was issued on 2005-11-21.
On what date did the Centers for Medicare & Medicaid Services issue the 1184607517 to Laura Marie Black-Wicks?
The Laura Marie Black-Wicks received its 1184607517 assignment from the Centers for Medicare & Medicaid Services on 2005-11-21.
When was the Laura Marie Black-Wicks's information last updated?
The Laura Marie Black-Wicks's information was last updated on 2020-02-18.