| Sid Kramer, Lsw Pc | |
|
3601 N Classen Blvd Suite 106 Oklahoma City OK 73118-3231 | |
| (405) 640-3554 | |
| (405) 285-2178 |
| Full Name | Sid Kramer, Lsw Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3601 N Classen Blvd, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Sid Kramer (OWNER) |
| Authorized Official Contact | 4056403554 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sid Kramer, Lsw Pc 633 Hidden Hollow Cir Edmond OK 73034-4286 Ph: (405) 640-3554 | Sid Kramer, Lsw Pc 3601 N Classen Blvd Suite 106 Oklahoma City OK 73118-3231 Ph: (405) 640-3554 |
| NPI Number | 1851573208 |
|---|---|
| Provider Enumeration Date | 11/28/2007 |
| Last Update Date | 11/28/2007 |
| Medicare PECOS PAC ID | 0547338394 |
|---|---|
| Medicare Enrollment ID | O20100910000881 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851573208 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 1144 (Oklahoma) | Primary |
| Provider Name | Charles W Kramer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851349765 PECOS PAC ID: 2466520218 Enrollment ID: I20081006000690 |
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