Smith, Pam
Smith, Pam is an individual health care provider with primary practice located at 3015 E Skelly Dr Suite 103, Tulsa OK 74105-6317. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Smith, Pam can be contacted via phone (918) 712-0859.Contact Information
Primary practice address
3015 E Skelly Dr Suite 103
Tulsa OK 74105-6317
Phone: (918) 712-0859
Fax: (918) 388-6456
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 0043067 | Oklahoma |
Profile Details
| NPI number | 1881062768 |
|---|---|
| LBN Legal business name | Smith, Pam |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 9th, 2015 |
| Last updated | Sep 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881062768 | NPPES |
| Oklahoma | MEDICAID | 200323940 |
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