Smith, Gina Renea
Smith, Gina Renea is an individual health care provider with primary practice located at 5801 E 41St St Ste 900 , Tulsa OK 74135-5631. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Smith, Gina Renea can be contacted via phone (918) 747-4975.Contact Information
Primary practice address
5801 E 41St St Ste 900
Tulsa OK 74135-5631
Phone: (918) 747-4975
Fax: (918) 743-8552
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 1114 | Oklahoma |
Profile Details
| NPI number | 1942206750 |
|---|---|
| LBN Legal business name | Smith, Gina Renea |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2005 |
| Last updated | Apr 22nd, 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 | 1942206750 | NPPES |
| Oklahoma | MEDICAID | 100138330A |
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