Beasley, Todd C

Beasley, Todd C is an individual health care provider with primary practice located at 1611 S Utica Ave Ste 617, Tulsa OK 74104-4909. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Beasley, Todd C can be contacted via phone (918) 744-3664.

Contact Information

Primary practice address
1611 S Utica Ave Ste 617 Tulsa OK 74104-4909
Phone: (918) 744-3664
Fax: (918) 748-7688
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 4024 Oklahoma

Profile Details

NPI number 1912992066
LBN Legal business name Beasley, Todd C
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated May 28th, 2015 - about 11 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 1912992066 NPPES
Oklahoma Other P00298870 RAILROAD MEDICARE
Oklahoma MEDICAID 200007700A RAILROAD MEDICARE
Oklahoma Other 7349586 RAILROAD MEDICARE
Oklahoma Other 721545605-001 RAILROAD MEDICARE

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