Bull, Mindi Marie

Bull, Mindi Marie is an individual health care provider with primary practice located at 800 W Boise Cir Ste 150, Broken Arrow OK 74012-4906. She recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as her primary health care specialty. Bull, Mindi Marie can be contacted via phone (918) 994-9150.

Contact Information

Primary practice address
800 W Boise Cir Ste 150 Broken Arrow OK 74012-4906
Fax: (918) 403-6323
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 4384 Oklahoma

Profile Details

NPI number 1891859856
LBN Legal business name Bull, Mindi Marie
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2006
Last updated Oct 17th, 2018 - about 8 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 1891859856 NPPES
Oklahoma MEDICAID 200101160A

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