Pratt-Reid, Antonia M

Pratt-Reid, Antonia M is an sole proprietor health care provider with primary practice located at 11109 Surrey Hills Blvd , Yukon OK 73099-8155. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Pratt-Reid, Antonia M can be contacted via phone (405) 373-2400.

Contact Information

Primary practice address
11109 Surrey Hills Blvd Yukon OK 73099-8155
Fax: (405) 373-4400
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R0050603 Oklahoma

Profile Details

NPI number 1477595635
LBN Legal business name Pratt-Reid, Antonia M
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 12th, 2006
Last updated Mar 15th, 2016 - about 8 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 1477595635 NPPES
Oklahoma MEDICAID 100203760C
Oklahoma Other P00027716

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