Garrett, Charles Walter

Garrett, Charles Walter is an sole proprietor health care provider with primary practice located at 6606 S Yale Ave Suite 205, Tulsa OK 74136-3364. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Garrett, Charles Walter can be contacted via phone (918) 488-6608.

Contact Information

Primary practice address
6606 S Yale Ave Suite 205 Tulsa OK 74136-3364
Phone: (918) 488-6608
Fax: (918) 488-6609
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 17128 Oklahoma

Profile Details

NPI number 1396754644
LBN Legal business name Garrett, Charles Walter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 5th, 2006
Last updated Jun 2nd, 2014 - about 11 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 1396754644 NPPES
Oklahoma MEDICAID 100101670A
Oklahoma Other 180027938
Oklahoma Other 0004116209

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