Pelton, Todd Bradford

Pelton, Todd Bradford is an individual health care provider with primary practice located at 15951 Little Axe Dr , Norman OK 73026-9088. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Pelton, Todd Bradford can be contacted via phone (405) 447-0300.

Contact Information

Primary practice address
15951 Little Axe Dr Norman OK 73026-9088
Phone: (405) 447-0300
Fax: (405) 701-7914
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA968 Oklahoma

Profile Details

NPI number 1770560567
LBN Legal business name Pelton, Todd Bradford
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated Nov 2nd, 2012 - about 13 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 1770560567 NPPES
Oklahoma MEDICAID 200161660A

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