Scearce, Sean M
Scearce, Sean M is an individual health care provider with primary practice located at 1203 E Ross Byp Suite A, Tahlequah OK 74464-4133. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Scearce, Sean M can be contacted via phone (918) 453-1234.Contact Information
Primary practice address
1203 E Ross Byp Suite A
Tahlequah OK 74464-4133
Phone: (918) 453-1234
Fax: (918) 453-9107
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 869 | Oklahoma |
Profile Details
| NPI number | 1194715730 |
|---|---|
| LBN Legal business name | Scearce, Sean M |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2005 |
| Last updated | Nov 14th, 2012 - about 14 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 | 1194715730 | NPPES |
| Oklahoma | MEDICAID | 100108530A | |
| Oklahoma | Other | P00299307 | |
| Oklahoma | Other | DA5295 | |
| Oklahoma | Other | 400522239 | |
| Oklahoma | MEDICAID | 200000030A |
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