Bond, Shannan Beth

Bond, Shannan Beth is an individual health care provider with primary practice located at 7125 S Braden Ave , Tulsa OK 74136-6302. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Bond, Shannan Beth can be contacted via phone (918) 481-8100.

Contact Information

Primary practice address
7125 S Braden Ave Tulsa OK 74136-6302
Phone: (918) 481-8100
Fax: (918) 481-8159
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 3626 Oklahoma

Profile Details

NPI number 1619059466
LBN Legal business name Bond, Shannan Beth
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2006
Last updated Mar 7th, 2023 - about 2 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 1619059466 NPPES
Oklahoma Other 268321123002 BCBS OF OKLAHOMA
Oklahoma Other 100230680A BCBS OF OKLAHOMA
Oklahoma MEDICAID 100187850B BCBS OF OKLAHOMA
Oklahoma Other 1043301070 BCBS OF OKLAHOMA
Oklahoma Other 3626 BCBS OF OKLAHOMA

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