Ingram, Nancy M

Ingram, Nancy M is an individual health care provider with primary practice located at 4415 S Harvard Ave Suite 125, Tulsa OK 74135-2620. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Ingram, Nancy M can be contacted via phone (918) 508-7601.

Contact Information

Primary practice address
4415 S Harvard Ave Suite 125 Tulsa OK 74135-2620
Fax: (918) 508-7602
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 108 Oklahoma

Profile Details

NPI number 1902877905
LBN Legal business name Ingram, Nancy M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2006
Last updated Nov 19th, 2014 - about 10 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 1902877905 NPPES
Oklahoma MEDICAID 200046630A

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