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
Phone: (918) 481-6630
Fax: (918) 481-6698
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1770574709 | NPPES |
Oklahoma | MEDICAID | 100079040A |
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