Reel, Hazel Louise

Reel, Hazel Louise is an individual health care provider with primary practice located at 1317 S Dewey Ave , Wagoner OK 74467-7013. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Reel, Hazel Louise can be contacted via phone (918) 485-9696.

Contact Information

Primary practice address
1317 S Dewey Ave Wagoner OK 74467-7013
Fax: (918) 485-1701
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R0049114 Oklahoma

Profile Details

NPI number 1861718876
LBN Legal business name Reel, Hazel Louise
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2010
Last updated Jul 11th, 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 1861718876 NPPES
Oklahoma Other 352276246 TAX ID

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