Norris, Brent Lane
Norris, Brent Lane is an individual health care provider with primary practice located at 2424 E 21St St Suite 320, Tulsa OK 74114-1722. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Trauma, which is considered as his primary health care specialty. Norris, Brent Lane can be contacted via phone (918) 392-4547.Contact Information
Primary practice address
2424 E 21St St Suite 320
Tulsa OK 74114-1722
Phone: (918) 392-4547
Fax: (918) 392-4555
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Trauma | 207XX0801X | 25287 | Oklahoma |
Profile Details
| NPI number | 1801988597 |
|---|---|
| LBN Legal business name | Norris, Brent Lane |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2006 |
| Last updated | Mar 22nd, 2012 - about 12 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 | 1801988597 | NPPES |
| Oklahoma | MEDICAID | 200096320A | |
| Oklahoma | Other | P00684517 |
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