Linville, Tara
Linville, Tara is an individual health care provider with primary practice located at 6565 S Yale Ave Ste 1200 , Tulsa OK 74136. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Linville, Tara can be contacted via phone (918) 502-3376.Contact Information
Primary practice address
6565 S Yale Ave Ste 1200
Tulsa OK 74136
Phone: (918) 502-3376
Fax: (918) 502-3375
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 1108 | Oklahoma |
Profile Details
| NPI number | 1013994458 |
|---|---|
| LBN Legal business name | Linville, Tara |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 28th, 2005 |
| Last updated | May 14th, 2018 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013994458 | NPPES |
| Oklahoma | MEDICAID | 200060190A |
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