Robertson, Michael

Robertson, Michael is an individual health care provider with primary practice located at 8801 S 101 E Ave , Tulsa OK 74133. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Robertson, Michael can be contacted via phone (918) 294-4915.

Contact Information

Primary practice address
8801 S 101 E Ave Tulsa OK 74133
Phone: (918) 294-4915
Fax: (918) 294-4947
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R0087817 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 55476 Kansas

Profile Details

NPI number 1255311791
LBN Legal business name Robertson, Michael
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Jan 24th, 2022 - about 2 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 1255311791 NPPES
Oklahoma MEDICAID 200120020A
Oklahoma Other 900522349

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