Butcher, Susan J

Butcher, Susan J is an individual health care provider with primary practice located at 10901 E 48Th St , Tulsa OK 74146-5830. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist, which is considered as her primary health care specialty. Butcher, Susan J can be contacted via phone (918) 749-8765.

Contact Information

Primary practice address
10901 E 48Th St Tulsa OK 74146-5830
Phone: (918) 749-8765
Fax: (918) 392-2155
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X R0042259 Oklahoma

Profile Details

NPI number 1407866031
LBN Legal business name Butcher, Susan J
Credentials APRN, CNS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Mar 11th, 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 1407866031 NPPES
Oklahoma MEDICAID 200017950A

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