Revelis, Andreas Frank

Revelis, Andreas Frank is an individual health care provider with primary practice located at 10810 E 45Th St Ste 400 , Tulsa OK 74146-3806. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Revelis, Andreas Frank can be contacted via phone (918) 742-7030.

Contact Information

Primary practice address
10810 E 45Th St Ste 400 Tulsa OK 74146-3806
Phone: (918) 742-7030
Fax: (918) 742-9958
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 21829 Oklahoma

Profile Details

NPI number 1902809080
LBN Legal business name Revelis, Andreas Frank
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Aug 7th, 2020 - about 4 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 1902809080 NPPES
Oklahoma MEDICAID 100097430A

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