Ellison-Brown, Patricia Ann

Ellison-Brown, Patricia Ann is an individual health care provider with primary practice located at 1923 S Utica Ave , Tulsa OK 74104-6520. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Ellison-Brown, Patricia Ann can be contacted via phone (918) 744-3528.

Contact Information

Primary practice address
1923 S Utica Ave Tulsa OK 74104-6520
Fax: (918) 744-3529
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 3024 Oklahoma
Other Service Providers / Specialist 174400000X 5101011644 Michigan

Profile Details

NPI number 1932253176
LBN Legal business name Ellison-Brown, Patricia Ann
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated Jul 20th, 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 1932253176 NPPES
Michigan MEDICAID 4117502
Michigan Other 382168683

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