Sanders, Billy Grant
Sanders, Billy Grant is an individual health care provider with primary practice located at 15809 Ne 23Rd St , Choctaw OK 73020-8428. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Sanders, Billy Grant can be contacted via phone (405) 390-9600.Contact Information
Primary practice address
15809 Ne 23Rd St
Choctaw OK 73020-8428
Phone: (405) 390-9600
Fax: (405) 390-9400
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 1561 | Oklahoma |
Profile Details
| NPI number | 1164597860 |
|---|---|
| LBN Legal business name | Sanders, Billy Grant |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 21st, 2006 |
| Last updated | Feb 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164597860 | NPPES |
| Other | OK400905 | MEDICARE INDIVIDUAL PTAN | |
| MEDICAID | 200100040A | MEDICARE INDIVIDUAL PTAN | |
| Other | 900522085 | MEDICARE INDIVIDUAL PTAN |
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