Bryan, John Dearing

Bryan, John Dearing is an sole proprietor health care provider with primary practice located at 7171 S Yale Ave Suite 102, Tulsa OK 74136-6367. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Bryan, John Dearing can be contacted via phone (918) 481-6630.

Contact Information

Primary practice address
7171 S Yale Ave Suite 102 Tulsa OK 74136-6367
Fax: (918) 481-6698
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 11755 Oklahoma

Profile Details

NPI number 1770574709
LBN Legal business name Bryan, John Dearing
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 31st, 2005
Last updated Jun 17th, 2010 - about 15 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 1770574709 NPPES
Oklahoma MEDICAID 100079040A

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