Boswell, Sonja Janet

Boswell, Sonja Janet is an individual health care provider with primary practice located at 1923 S Utica Ave , Tulsa OK 74104-6520. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Boswell, Sonja Janet can be contacted via phone (918) 744-0123.

Contact Information

Primary practice address
1923 S Utica Ave Tulsa OK 74104-6520
Fax: (918) 293-3184
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1190 Oklahoma

Profile Details

NPI number 1639136005
LBN Legal business name Boswell, Sonja Janet
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated Jul 8th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639136005 NPPES
Oklahoma Other P00164929 RR MEDICARE

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