Eastern Oklahoma Ear, Nose & Throat Inc

LBN: Eastern Oklahoma Ear, Nose & Throat Inc
Eastern Oklahoma Ear, Nose & Throat Inc is an health care organization with primary practice located at 5020 E 68Th St , Tulsa OK 74136-3307. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Sleep Medicine, which is considered as the primary health care specialty. Eastern Oklahoma Ear, Nose & Throat Inc can be contacted via phone (918) 492-3636, or through Weatherly, Susan via phone (918) 491-3314.

Contact Information

Primary practice address
5020 E 68Th St Tulsa OK 74136-3307
Fax: (918) 494-8915
Website:
Authorized official contact:
Name: Weatherly, Susan

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sleep Medicine 207YS0012X

Profile Details

NPI number 1205052149
LBN Legal business name Eastern Oklahoma Ear, Nose & Throat Inc
DBA Doing business as
Authorized official Weatherly, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Apr 18th, 2007
Last updated Dec 9th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205052149 NPPES
Oklahoma MEDICAID 100805560B

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