Reid, Justin Scott

Reid, Justin Scott is an individual health care provider with primary practice located at 4802 S 109Th East Ave , Tulsa OK 74146-5822. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery is his primary health care specialty. Reid, Justin Scott can be contacted via phone (918) 392-1400.

Contact Information

Primary practice address
4802 S 109Th East Ave Tulsa OK 74146-5822
Phone: (918) 392-1400
Fax: (918) 392-1401
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 14311 Hawaii
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X 29032 Oklahoma

Profile Details

NPI number 1124221262
LBN Legal business name Reid, Justin Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2007
Last updated Feb 21st, 2017 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124221262 NPPES
Oklahoma MEDICAID 200588760A

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