Redwood, Susan K

Redwood, Susan K is an individual health care provider with primary practice located at 2345 Southwest Blvd , Tulsa OK 74107-2705. She recently has only one registered license in Behavioral Health & Social Service Providers / Health Service, which is considered as her primary health care specialty. Redwood, Susan K can be contacted via phone (918) 582-1980.

Contact Information

Primary practice address
2345 Southwest Blvd Tulsa OK 74107-2705
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Health Service 103TH0100X 427 Oklahoma

Profile Details

NPI number 1144280751
LBN Legal business name Redwood, Susan K
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Jul 9th, 2008 - about 18 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 1144280751 NPPES
Oklahoma MEDICAID 100842420A

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