Tatum, Bill D

Tatum, Bill D is an individual health care provider with primary practice located at 1201 Health Center Pkwy , Yukon OK 73099-6381. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Tatum, Bill D can be contacted via phone (405) 717-6800.

Contact Information

Primary practice address
1201 Health Center Pkwy Yukon OK 73099-6381
Phone: (405) 717-6800
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R0071233 Oklahoma

Profile Details

NPI number 1407825425
LBN Legal business name Tatum, Bill D
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Aug 11th, 2011 - about 13 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 1407825425 NPPES
Oklahoma Other P00364317 RR MEDICARE
Oklahoma MEDICAID 200020660A RR MEDICARE

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