Swenson, Max Brian

Swenson, Max Brian is an individual health care provider with primary practice located at 8801 S. 101St East Ave , Tulsa OK 74133. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Swenson, Max Brian can be contacted via phone (918) 294-6911.

Contact Information

Primary practice address
8801 S. 101St East Ave Tulsa OK 74133
Phone: (918) 294-6911
Fax: (918) 294-4579
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA15 Oklahoma

Profile Details

NPI number 1033100268
LBN Legal business name Swenson, Max Brian
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2005
Last updated Dec 22nd, 2011 - about 15 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 1033100268 NPPES
Oklahoma MEDICAID 100110300B
Oklahoma Other 970021922

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