Barrett, Ted Lee

Barrett, Ted Lee is an individual health care provider with primary practice located at 705 W Oakland St , Broken Arrow OK 74012-1656. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Barrett, Ted Lee can be contacted via phone (918) 251-2666.

Contact Information

Primary practice address
705 W Oakland St Broken Arrow OK 74012-1656
Phone: (918) 251-2666
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F1216463 Oklahoma

Profile Details

NPI number 1407304827
LBN Legal business name Barrett, Ted Lee
Credentials APRN-CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2016
Last updated Nov 27th, 2024 - about 2 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 1407304827 NPPES
Oklahoma MEDICAID 200708550A

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