White, Traci Lynne
White, Traci Lynne is an individual health care provider with primary practice located at 6802 S Olympia Ave Suite 100, Tulsa OK 74132-1823. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as her primary health care specialty. White, Traci Lynne can be contacted via phone (918) 447-9300.Contact Information
Primary practice address
6802 S Olympia Ave Suite 100
Tulsa OK 74132-1823
Phone: (918) 447-9300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 26991 | Oklahoma |
Profile Details
| NPI number | 1518170927 |
|---|---|
| LBN Legal business name | White, Traci Lynne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2007 |
| Last updated | Aug 27th, 2009 - about 15 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 | 1518170927 | NPPES |
| Oklahoma | MEDICAID | 200250700A |
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