Anderson, Donna

Anderson, Donna is an individual health care provider with primary practice located at 1124 S Saint Louis Ave , Tulsa OK 74120-5413. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Anderson, Donna can be contacted via phone (918) 592-0296.

Contact Information

Primary practice address
1124 S Saint Louis Ave Tulsa OK 74120-5413
Phone: (918) 592-0296
Fax: (918) 592-0286
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 314 Oklahoma

Profile Details

NPI number 1396812723
LBN Legal business name Anderson, Donna
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2006
Last updated Aug 16th, 2013 - about 12 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 1396812723 NPPES
Oklahoma MEDICAID 100717240B

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