Worsham, Charles Michael

Worsham, Charles Michael is an individual health care provider with primary practice located at 6100 S Yale Blvd C/O Emp, Tulsa OK 74129-5101. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Worsham, Charles Michael can be contacted via phone (918) 502-3939.

Contact Information

Primary practice address
6100 S Yale Blvd C/O Emp Tulsa OK 74129-5101
Phone: (918) 502-3939
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 570 Oklahoma

Profile Details

NPI number 1922065291
LBN Legal business name Worsham, Charles Michael
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated May 1st, 2008 - about 17 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 1922065291 NPPES
Oklahoma MEDICAID 100165960A
Oklahoma Other 970019450

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