Carlisle, Carleen D

Carlisle, Carleen D is an sole proprietor health care provider with primary practice located at 1717 S Utica Ave Ste A , Tulsa OK 74104-5346. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Carlisle, Carleen D can be contacted via phone (918) 748-7557.

Contact Information

Primary practice address
1717 S Utica Ave Ste A Tulsa OK 74104-5346
Phone: (918) 748-7557
Fax: (918) 403-0383
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R0076525 Oklahoma

Profile Details

NPI number 1386694107
LBN Legal business name Carlisle, Carleen D
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2006
Last updated Feb 1st, 2019 - about 5 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 1386694107 NPPES
Oklahoma MEDICAID 200036720A
Oklahoma MEDICAID 200036720B

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