Krisa, Peggy J

Krisa, Peggy J is an individual health care provider with primary practice located at 1705 E 19Th St Ste 706, Tulsa OK 74104-5405. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is her primary health care specialty. Krisa, Peggy J can be contacted via phone (918) 748-7824.

Contact Information

Primary practice address
1705 E 19Th St Ste 706 Tulsa OK 74104-5405
Phone: (918) 748-7824
Fax: (918) 748-7833
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 21703 Oklahoma
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 21703 Oklahoma

Profile Details

NPI number 1760450993
LBN Legal business name Krisa, Peggy J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Apr 6th, 2018 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760450993 NPPES
Oklahoma MEDICAID 100119330A

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