Lytle, Elsie M

Lytle, Elsie M is an individual health care provider with primary practice located at 4606 S Garnett Rd #302, Tulsa OK 74146-5231. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Lytle, Elsie M can be contacted via phone (918) 664-6544.

Contact Information

Primary practice address
4606 S Garnett Rd #302 Tulsa OK 74146-5231
Phone: (918) 664-6544
Fax: (918) 664-0668
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X NONE REQUIRED Oklahoma

Profile Details

NPI number 1447398045
LBN Legal business name Lytle, Elsie M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2007
Last updated Jun 17th, 2008 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1447398045 NPPES
Oklahoma MEDICAID 100810010-A
Oklahoma Other 200302570A
Oklahoma Other 123441716
Oklahoma Other 731385829
Oklahoma Other 0259450001
Oklahoma Other 323088005

Popular Providers