Buster, Baron Wayne

Buster, Baron Wayne is an individual health care provider with primary practice located at 6216 S Lewis Ave Ste 180 , Tulsa OK 74136-1077. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Buster, Baron Wayne can be contacted via phone (918) 268-7365.

Contact Information

Primary practice address
6216 S Lewis Ave Ste 180 Tulsa OK 74136-1077
Phone: (918) 268-7365
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1114632122
LBN Legal business name Buster, Baron Wayne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2023
Last updated Jul 1st, 2025 - about last year

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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