Mercer, Shelly Bowles
Mercer, Shelly Bowles is an individual health care provider with primary practice located at 4444 E 41St St , Tulsa OK 74135-2527. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Endocrinology, which is considered as her primary health care specialty. Mercer, Shelly Bowles can be contacted via phone (918) 619-4400.Contact Information
Primary practice address
4444 E 41St St
Tulsa OK 74135-2527
Phone: (918) 619-4400
Fax: (918) 619-4801
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatric Endocrinology | 2080P0205X | 33525 | Oklahoma |
Profile Details
NPI number | 1770840126 |
---|---|
LBN Legal business name | Mercer, Shelly Bowles |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 23rd, 2012 |
Last updated | Sep 8th, 2022 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1770840126 | NPPES |
Oklahoma | MEDICAID | 200775570A |
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