Plaxico, Janet Leslie

Plaxico, Janet Leslie is an individual health care provider with primary practice located at 1201 E. Ross Bypass Road , Tahlequah OK 74464. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Allopathic & Osteopathic Physicians / Internal Medicine. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Plaxico, Janet Leslie can be contacted via phone (918) 207-0991.

Contact Information

Primary practice address
1201 E. Ross Bypass Road Tahlequah OK 74464
Phone: (918) 207-0991
Fax: (918) 456-7570
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA772 Oklahoma
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 772 Oklahoma

Profile Details

NPI number 1194759134
LBN Legal business name Plaxico, Janet Leslie
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated May 12th, 2010 - about 15 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 1194759134 NPPES
Oklahoma MEDICAID 100094770A

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