George, Mini

George, Mini is an individual health care provider with primary practice located at 10501 E 91St St Suite Ed, Tulsa OK 74133-5790. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. George, Mini can be contacted via phone (918) 307-6920.

Contact Information

Primary practice address
10501 E 91St St Suite Ed Tulsa OK 74133-5790
Phone: (918) 307-6920
Fax: (918) 307-6951
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1334 Oklahoma

Profile Details

NPI number 1447217583
LBN Legal business name George, Mini
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Sep 10th, 2013 - about 13 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 1447217583 NPPES
Oklahoma MEDICAID 200039230A
Oklahoma Other P00878497

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