Bacchus, Amy Claire
Bacchus, Amy Claire is an individual health care provider with primary practice located at 6585 S Yale Ave Suite 1200, Tulsa OK 74136-8384. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as her primary health care specialty. Bacchus, Amy Claire can be contacted via phone (918) 494-9288.Contact Information
Primary practice address
6585 S Yale Ave Suite 1200
Tulsa OK 74136-8384
Phone: (918) 494-9288
Fax: (918) 494-9191
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 24281 | Oklahoma |
Profile Details
| NPI number | 1285634154 |
|---|---|
| LBN Legal business name | Bacchus, Amy Claire |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2005 |
| Last updated | Jan 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285634154 | NPPES |
| Oklahoma | MEDICAID | 200054560A | |
| Oklahoma | Other | 450778109 |
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