Inter Id Inc

LBN: Inter Id Inc
Inter Id Inc is an health care organization with primary practice located at 6565 S Yale Ave Ste 812, Tulsa OK 74136-8354. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as the primary health care specialty. Inter Id Inc can be contacted via phone (918) 494-9486, or through Rowland, Mark Dillier via phone (918) 494-9486.

Contact Information

Primary practice address
6565 S Yale Ave Ste 812 Tulsa OK 74136-8354
Phone: (918) 494-9486
Fax: (918) 494-9480
Website:
Map and Directions
Authorized official contact:
Name: Rowland, Mark Dillier Doctor of Medicine (MD)
Phone: (918) 494-9486

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X

Profile Details

NPI number 1104803956
LBN Legal business name Inter Id Inc
DBA Doing business as
Authorized official Rowland, Mark Dillier Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 22nd, 2005
Last updated Dec 17th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104803956 NPPES
Oklahoma MEDICAID 100737010A

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