Fugate, Colony S
Fugate, Colony S is an individual health care provider with primary practice located at 717 S Houston Ave Fl 4 , Tulsa OK 74127-9023. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Fugate, Colony S can be contacted via phone (918) 382-4600.Contact Information
Primary practice address
717 S Houston Ave Fl 4
Tulsa OK 74127-9023
Phone: (918) 382-4600
Fax: (918) 382-3183
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 3923 | Oklahoma |
Profile Details
| NPI number | 1073619425 |
|---|---|
| LBN Legal business name | Fugate, Colony S |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2006 |
| Last updated | Feb 13th, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073619425 | NPPES |
| Oklahoma | MEDICAID | 200035440B |
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