Brister, Shirley J

Brister, Shirley J is an individual health care provider with primary practice located at 1809 E 13Th St Suite 100, Tulsa OK 74104-4419. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Brister, Shirley J can be contacted via phone (918) 582-6800.

Contact Information

Primary practice address
1809 E 13Th St Suite 100 Tulsa OK 74104-4419
Phone: (918) 582-6800
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 454 Oklahoma

Profile Details

NPI number 1760443485
LBN Legal business name Brister, Shirley J
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Aug 20th, 2013 - about 12 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 1760443485 NPPES
Oklahoma MEDICAID 200063600A

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