Smith, Sharon L

Smith, Sharon L is an individual health care provider with primary practice located at 1150 E Lansing St , Broken Arrow OK 74012-2429. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Smith, Sharon L can be contacted via phone (918) 921-7661.

Contact Information

Primary practice address
1150 E Lansing St Broken Arrow OK 74012-2429
Phone: (918) 921-7661
Fax: (918) 921-7662
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R103794 Oklahoma

Profile Details

NPI number 1891068938
LBN Legal business name Smith, Sharon L
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2012
Last updated Mar 26th, 2019 - about 5 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 1891068938 NPPES
Oklahoma Other 332898YLM3 MEDICARE PTAN
Oklahoma Other 332898YXXJ MEDICARE PTAN
Oklahoma MEDICAID 200436210A MEDICARE PTAN

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