Weidner, Vicky Lynn

Weidner, Vicky Lynn is an sole proprietor health care provider with primary practice located at 6767 S Yale Ave Ste B Physician Services Of Physical Therapy Of Tulsa, Tulsa OK 74136-3302. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Weidner, Vicky Lynn can be contacted via phone (918) 494-3000.

Contact Information

Primary practice address
6767 S Yale Ave Ste B Physician Services Of Physical Therapy Of Tulsa Tulsa OK 74136-3302
Phone: (918) 494-3000
Fax: (918) 494-0003
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X M-16685 Idaho
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 12846203-1205 Utah
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 113030 Montana
Allopathic & Osteopathic Physicians / General Practice 208D00000X 15349 Oklahoma
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 15349 Oklahoma

Profile Details

NPI number 1770540221
LBN Legal business name Weidner, Vicky Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 27th, 2006
Last updated Oct 25th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770540221 NPPES
Oklahoma Other 930016273 RR MEDICARE
Oklahoma MEDICAID 100135210A RR MEDICARE
Oklahoma Other P00159520 RR MEDICARE

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