Greenawalt, James William

Greenawalt, James William is an individual health care provider with primary practice located at 6161 S Yale Ave , Tulsa OK 74136-1902. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Greenawalt, James William can be contacted via phone (918) 494-0612.

Contact Information

Primary practice address
6161 S Yale Ave Tulsa OK 74136-1902
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 14759 Oklahoma

Profile Details

NPI number 1750385175
LBN Legal business name Greenawalt, James William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Apr 29th, 2022 - about 3 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 1750385175 NPPES
Oklahoma MEDICAID 100823380B
Oklahoma MEDICAID 1750385175

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