Reeves, Renetta
Reeves, Renetta is an sole proprietor health care provider with primary practice located at 4500 S 129Th East Ave Suite 191, Tulsa OK 74134-5801. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Reeves, Renetta can be contacted via phone (800) 993-8244.Contact Information
Primary practice address
4500 S 129Th East Ave Suite 191
Tulsa OK 74134-5801
Phone: (800) 993-8244
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | ME 62145 | Florida |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 16980 | Oklahoma |
Profile Details
| NPI number | 1386880698 |
|---|---|
| LBN Legal business name | Reeves, Renetta |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 17th, 2008 |
| Last updated | Apr 23rd, 2015 - about 9 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 | 1386880698 | NPPES |
| Florida | Other | 17769Z | MEDICARE PTAN |
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