Cobb, Carolyn Louise

Cobb, Carolyn Louise is an sole proprietor health care provider with primary practice located at 550 S Peoria Ave , Tulsa OK 74120-3820. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Cobb, Carolyn Louise can be contacted via phone (918) 588-1900.

Contact Information

Primary practice address
550 S Peoria Ave Tulsa OK 74120-3820
Fax: (918) 582-6405
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 12692 Oklahoma
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 12692 Oklahoma

Profile Details

NPI number 1871538942
LBN Legal business name Cobb, Carolyn Louise
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 20th, 2006
Last updated Jan 4th, 2017 - about 8 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 1871538942 NPPES
Oklahoma MEDICAID 100257340-B

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