Beagles, Gretchen Michelle
Beagles, Gretchen Michelle is an sole proprietor health care provider with primary practice located at 3601 N May Ave Suite C, Oklahoma City OK 73112-6641. She recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Technician, Other, Technologists, Technicians & Other Technical Service Providers / Perfusionist. Technologists, Technicians & Other Technical Service Providers / Perfusionist is her primary health care specialty. Beagles, Gretchen Michelle can be contacted via phone (405) 604-5613.Contact Information
Primary practice address
3601 N May Ave Suite C
Oklahoma City OK 73112-6641
Phone: (405) 604-5613
Fax: (405) 601-3750
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Technologists, Technicians & Other Technical Service Providers / Technician, Other | 247200000X | LP63 | Oklahoma |
Technologists, Technicians & Other Technical Service Providers / Perfusionist | 242T00000X | LP63 | Oklahoma |
Profile Details
NPI number | 1154486629 |
---|---|
LBN Legal business name | Beagles, Gretchen Michelle |
Credentials | CCP LP |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 26th, 2006 |
Last updated | Mar 29th, 2011 - about 13 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 | 1154486629 | NPPES |
Other | 5993501 | AETNA | |
Other | 731522080002 | AETNA |
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