Christianson, Bradley

Christianson, Bradley is an sole proprietor health care provider with primary practice located at 4800 S 109Th East Ave , Tulsa OK 74146-5822. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Christianson, Bradley can be contacted via phone (918) 742-2502.

Contact Information

Primary practice address
4800 S 109Th East Ave Tulsa OK 74146-5822
Phone: (918) 742-2502
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 3425 Oklahoma
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 3425 Oklahoma

Profile Details

NPI number 1134178411
LBN Legal business name Christianson, Bradley
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 6th, 2006
Last updated Dec 30th, 2020 - about 4 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 1134178411 NPPES
Oklahoma MEDICAID 100259270A

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