Rhoads, Carol Lynn

Rhoads, Carol Lynn is an individual health care provider with primary practice located at 1921 Stonecipher Dr Chickasaw Nation Health System, Ada OK 74820-3439. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Rhoads, Carol Lynn can be contacted via phone (580) 421-6248.

Contact Information

Primary practice address
1921 Stonecipher Dr Chickasaw Nation Health System Ada OK 74820-3439
Phone: (580) 421-6248
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R0080710 Oklahoma

Profile Details

NPI number 1528050291
LBN Legal business name Rhoads, Carol Lynn
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated Jan 6th, 2015 - about 11 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 1528050291 NPPES
Oklahoma MEDICAID 200034720B

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