Pettingell, Timothy
Pettingell, Timothy is an sole proprietor health care provider with primary practice located at 4735 E 91St St Suite 100, Tulsa OK 74137-2807. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Pettingell, Timothy can be contacted via phone (918) 252-7952.Contact Information
Primary practice address
4735 E 91St St Suite 100
Tulsa OK 74137-2807
Phone: (918) 252-7952
Fax: (918) 252-9218
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | 20806 | Oklahoma |
Profile Details
| NPI number | 1376546531 |
|---|---|
| LBN Legal business name | Pettingell, Timothy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 23rd, 2005 |
| Last updated | May 29th, 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 | 1376546531 | NPPES |
| Oklahoma | MEDICAID | 100251620A |
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