Beard, Jo Ellen
Beard, Jo Ellen is an sole proprietor health care provider with primary practice located at 1221 E 33Rd St Ste 100 , Tulsa OK 74105-2046. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Beard, Jo Ellen can be contacted via phone (918) 744-7909.Contact Information
Primary practice address
1221 E 33Rd St Ste 100
Tulsa OK 74105-2046
Phone: (918) 744-7909
Fax: (918) 744-7808
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 271 | Oklahoma |
Profile Details
| NPI number | 1508990714 |
|---|---|
| LBN Legal business name | Beard, Jo Ellen |
| Credentials | DR. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 16th, 2007 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1508990714 | NPPES |
| Oklahoma | MEDICAID | 100839420A |
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