Stewart, Douglas Wayne
Stewart, Douglas Wayne is an individual health care provider with primary practice located at 4444 E 41St St 2Nd Floor Ste A, Tulsa OK 74135-2527. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Stewart, Douglas Wayne can be contacted via phone (918) 619-4400.Contact Information
Primary practice address
4444 E 41St St 2Nd Floor Ste A
Tulsa OK 74135-2527
Phone: (918) 619-4400
Fax: (918) 619-4322
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2550 | Oklahoma |
Profile Details
| NPI number | 1245203637 |
|---|---|
| LBN Legal business name | Stewart, Douglas Wayne |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2006 |
| Last updated | Aug 21st, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245203637 | NPPES |
| Oklahoma | MEDICAID | 100096220B |
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