Pond, Clell W
Pond, Clell W is an individual health care provider with primary practice located at 8801 S 101St East Ave , Tulsa OK 74133-5716. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Pond, Clell W can be contacted via phone (918) 294-4000.Contact Information
Primary practice address
8801 S 101St East Ave
Tulsa OK 74133-5716
Phone: (918) 294-4000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 3484 | Oklahoma |
Profile Details
| NPI number | 1093795510 |
|---|---|
| LBN Legal business name | Pond, Clell W |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1093795510 | NPPES |
| Oklahoma | MEDICAID | 100096560C |
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