Mitchell-Huber, Lora Jean

Mitchell-Huber, Lora Jean is an individual health care provider with primary practice located at 7858 S Olympia Ave , Tulsa OK 74132-1857. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Mitchell-Huber, Lora Jean can be contacted via phone (918) 986-9250.

Contact Information

Primary practice address
7858 S Olympia Ave Tulsa OK 74132-1857
Phone: (918) 986-9250
Fax: (918) 986-9205
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 890 Oklahoma

Profile Details

NPI number 1851359756
LBN Legal business name Mitchell-Huber, Lora Jean
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2006
Last updated Apr 28th, 2022 - about 4 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 1851359756 NPPES
Oklahoma Other P00164911 RR MEDICARE
Oklahoma Other 970018309 RR MEDICARE
Oklahoma MEDICAID 100174170A RR MEDICARE

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