Stults, Tina
Stults, Tina is an sole proprietor health care provider with primary practice located at 1510 W Main St , Duncan OK 73533-4333. She recently has only one registered license in Nursing Service Providers / Administrator, which is considered as her primary health care specialty. Stults, Tina can be contacted via phone (580) 560-1879.Contact Information
Primary practice address
1510 W Main St
Duncan OK 73533-4333
Phone: (580) 560-1879
Fax: (580) 255-3933
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Administrator | 163WA2000X | R0089788 | Oklahoma |
Profile Details
| NPI number | 1578211744 |
|---|---|
| LBN Legal business name | Stults, Tina |
| Credentials | RN ADMINISTRATOR |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 16th, 2022 |
| Last updated | Apr 29th, 2022 - about 3 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 | 1578211744 | NPPES |
| Oklahoma | MEDICAID | 200265030A |
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