Small, Tina C
Small, Tina C is an individual health care provider with primary practice located at 4301 Wilson St , Fort Sill OK 73503-4472. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Small, Tina C can be contacted via phone (580) 558-8497.Contact Information
Primary practice address
4301 Wilson St
Fort Sill OK 73503-4472
Phone: (580) 558-8497
Fax: (580) 558-3323
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 24054 | Oklahoma |
Profile Details
| NPI number | 1720074255 |
|---|---|
| LBN Legal business name | Small, Tina C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2005 |
| Last updated | Jan 3rd, 2024 - about last year |
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 | 1720074255 | NPPES |
| Other | P00166228 | RAILROAD MEDICARE | |
| Other | 487023200 | RAILROAD MEDICARE | |
| MEDICAID | 200038730A | RAILROAD MEDICARE | |
| Other | 7664685 | RAILROAD MEDICARE |
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