Bourland, Joe Bynum

Bourland, Joe Bynum is an individual health care provider with primary practice located at 1140 S Douglas Blvd , Midwest City OK 73130-5236. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Bourland, Joe Bynum can be contacted via phone (405) 733-8000.

Contact Information

Primary practice address
1140 S Douglas Blvd Midwest City OK 73130-5236
Phone: (405) 733-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 899 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 899 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 899 Oklahoma

Profile Details

NPI number 1306827373
LBN Legal business name Bourland, Joe Bynum
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Oct 4th, 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 1306827373 NPPES
Oklahoma Other 899 MEDICAL LICENSE

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