Lovelace, Brian Eugene

Lovelace, Brian Eugene is an individual health care provider with primary practice located at 4812 S 109Th East Ave Suite 100, Tulsa OK 74146-5826. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Lovelace, Brian Eugene can be contacted via phone (918) 392-1400.

Contact Information

Primary practice address
4812 S 109Th East Ave Suite 100 Tulsa OK 74146-5826
Phone: (918) 392-1400
Fax: (918) 236-4501
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 23525 Oklahoma

Profile Details

NPI number 1043359813
LBN Legal business name Lovelace, Brian Eugene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2007
Last updated Jul 29th, 2021 - about 4 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 1043359813 NPPES
Oklahoma Other 200196160A MEDICAID
Oklahoma Other OK400474 MEDICAID

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