Crotty, Maureen Lee

Crotty, Maureen Lee is an individual health care provider with primary practice located at 3627 S Harvard Ave , Tulsa OK 74135-2227. She recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Radiology, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine. Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine is her primary health care specialty. Crotty, Maureen Lee can be contacted via phone (918) 494-2902.

Contact Information

Primary practice address
3627 S Harvard Ave Tulsa OK 74135-2227
Phone: (918) 494-2902
Fax: (918) 494-2905
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Radiology 213ER0200X 154 Oklahoma
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 154 Oklahoma
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 154 Oklahoma

Profile Details

NPI number 1073511648
LBN Legal business name Crotty, Maureen Lee
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Jun 14th, 2017 - about 9 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 1073511648 NPPES
Oklahoma Other 1720467483 DME NPI
Oklahoma MEDICAID 100780270A DME NPI

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