Streetman, Philip None
Streetman, Philip None is an sole proprietor health care provider with primary practice located at 500 Polk Creek St , Poteau OK 74953-5420. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Streetman, Philip None can be contacted via phone (918) 649-3426.Contact Information
Primary practice address
500 Polk Creek St
Poteau OK 74953-5420
Phone: (918) 649-3426
Fax: (918) 649-3426
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | R0023472 | Oklahoma |
Profile Details
| NPI number | 1760484133 |
|---|---|
| LBN Legal business name | Streetman, Philip None |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 15th, 2005 |
| Last updated | Nov 12th, 2007 - about 18 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 | 1760484133 | NPPES |
| Oklahoma | Other | 363399510002 | BLUE CROSS BLUE SHEILD |
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