Roberts, Linda Shodd

Roberts, Linda Shodd is an sole proprietor health care provider with primary practice located at 1500 E Downing St Suite 208, Tahlequah OK 74464-3234. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Roberts, Linda Shodd can be contacted via phone (918) 446-2496.

Contact Information

Primary practice address
1500 E Downing St Suite 208 Tahlequah OK 74464-3234
Phone: (918) 446-2496
Fax: (918) 456-7108
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X R0059260 Oklahoma

Profile Details

NPI number 1548480890
LBN Legal business name Roberts, Linda Shodd
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 27th, 2007
Last updated Aug 31st, 2012 - about 13 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 1548480890 NPPES
Oklahoma Other R00559260 OK NURSING LICENSE
Oklahoma MEDICAID 200308880A OK NURSING LICENSE

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