Peixotto, Bruce
Peixotto, Bruce is an individual health care provider with primary practice located at 4845 S Sheridan Rd Suite 509, Tulsa OK 74145-5751. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Peixotto, Bruce can be contacted via phone (918) 660-0031.Contact Information
Primary practice address
4845 S Sheridan Rd Suite 509
Tulsa OK 74145-5751
Phone: (918) 660-0031
Fax: (918) 660-0056
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 87242 | Oklahoma |
Profile Details
| NPI number | 1770821134 |
|---|---|
| LBN Legal business name | Peixotto, Bruce |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 2013 |
| Last updated | Jan 3rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770821134 | NPPES |
| Oklahoma | MEDICAID | 200511020A |
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