Stewart, Charles Vincent

Stewart, Charles Vincent is an individual health care provider with primary practice located at 6901 S Olympia Ave , Tulsa OK 74132-1843. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Stewart, Charles Vincent can be contacted via phone (918) 664-9892.

Contact Information

Primary practice address
6901 S Olympia Ave Tulsa OK 74132-1843
Phone: (918) 664-9892
Fax: (918) 664-2521
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 16144 Oklahoma

Profile Details

NPI number 1831195155
LBN Legal business name Stewart, Charles Vincent
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Apr 7th, 2010 - about 16 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 1831195155 NPPES
Oklahoma MEDICAID 100111050A
Oklahoma MEDICAID 200379180A

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