Puls, Amy Jo

Puls, Amy Jo is an individual health care provider with primary practice located at 1334 N Lansing Ave , Tulsa OK 74106-5907. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Pediatric, which is considered as her primary health care specialty. Puls, Amy Jo can be contacted via phone (918) 587-2171.

Contact Information

Primary practice address
1334 N Lansing Ave Tulsa OK 74106-5907
Phone: (918) 587-2171
Fax: (918) 587-4534
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Pediatric 133VN1004X 1565 Oklahoma

Profile Details

NPI number 1700030699
LBN Legal business name Puls, Amy Jo
Credentials RD, LD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2008
Last updated Aug 1st, 2011 - about 14 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 1700030699 NPPES
Oklahoma MEDICAID 200050080 A

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