Olive, Suzanne Renee

Olive, Suzanne Renee is an individual health care provider with primary practice located at 1725 E 19Th St Ste 200, Tulsa OK 74104-5415. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is her primary health care specialty. Olive, Suzanne Renee can be contacted via phone (918) 748-8381.

Contact Information

Primary practice address
1725 E 19Th St Ste 200 Tulsa OK 74104-5415
Phone: (918) 748-8381
Fax: (918) 748-8397
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X 16883 Oklahoma
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 16883 Oklahoma
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 16883 Oklahoma
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 16883 Oklahoma

Profile Details

NPI number 1679532170
LBN Legal business name Olive, Suzanne Renee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated Nov 10th, 2015 - about 9 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 1679532170 NPPES
Other H90060663001 BLUE CROSS BLUE SHIELD

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