Schroeder, Debra Beistle

Schroeder, Debra Beistle is an sole proprietor health care provider with primary practice located at 1201 W Main St , Jenks OK 74037-2311. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Dietary & Nutritional Service Providers / Nutritionist, Nursing Service Providers / Lactation Consultant. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Schroeder, Debra Beistle can be contacted via phone (918) 518-5770.

Contact Information

Primary practice address
1201 W Main St Jenks OK 74037-2311
Phone: (918) 518-5770
Fax: (918) 518-5773
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R35175 Oklahoma
Dietary & Nutritional Service Providers / Nutritionist 133N00000X NA
Nursing Service Providers / Lactation Consultant 163WL0100X 10928150 Oklahoma

Profile Details

NPI number 1932403318
LBN Legal business name Schroeder, Debra Beistle
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2010
Last updated Jun 4th, 2014 - about 12 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 1932403318 NPPES
Other 329716 PTAN
Other 9712 PTAN
MEDICAID 200531260A PTAN

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