Becerra, Mary Josephine

Becerra, Mary Josephine is an individual health care provider with primary practice located at 744 W 9Th St , Tulsa OK 74127-9020. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Becerra, Mary Josephine can be contacted via phone (918) 599-5744.

Contact Information

Primary practice address
744 W 9Th St Tulsa OK 74127-9020
Phone: (918) 599-5744
Fax: (918) 599-1763
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 1355 Oklahoma

Profile Details

NPI number 1992776058
LBN Legal business name Becerra, Mary Josephine
Credentials LD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Nov 28th, 2011 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1992776058 NPPES
Oklahoma MEDICAID 200054920A

Popular Providers