Christianson, Bradley
Christianson, Bradley is an sole proprietor health care provider with primary practice located at 4800 S 109Th East Ave , Tulsa OK 74146-5822. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Christianson, Bradley can be contacted via phone (918) 742-2502.Contact Information
Primary practice address
4800 S 109Th East Ave
Tulsa OK 74146-5822
Phone: (918) 742-2502
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 3425 | Oklahoma |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 3425 | Oklahoma |
Profile Details
| NPI number | 1134178411 |
|---|---|
| LBN Legal business name | Christianson, Bradley |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 6th, 2006 |
| Last updated | Dec 30th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134178411 | NPPES |
| Oklahoma | MEDICAID | 100259270A |
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